HomeMy WebLinkAboutapplication.pdfALL APPLICABLE INFO lMUS`/T/BE COMPLETED FOR APPLICATION TO BE ACCEPTED / / /
Date: q 7� - ) 7- Permit Number: (1D 9
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division /�•�r �-
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Building
PROPOSED IMPROVEMENT LOCATION:
Address: 1174 Nettles Blvd. Jensen Beach, FL 34957
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 1174 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 3637-909)
PropertyTax ID #: 4502-501-1361-000-6
Site Plan Name: Antetomaso Residence
Project Name: Antetomaso Residence
Lot No.
Block No.
Setbacks Front 10' Back: 5' Right Side: 6" Left Side: 5' II
DETAILED DESCRIPTION OF WORK:
New construction single family residence.
CONSTRUCTION INFORMATION: III
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✓ZHVAC Gas Tank Gas Piping
✓Electric ❑✓_Plumbing Sprinklers
Total Sq. Ft of Construction: 2200 sf
Cost of Construction: $ 200,000
Shutters z Windows/Doors
Generator r. rRoof
S Ft. of First Floor: 1674 sf
Utilities:Sewer Septic Building Height: 18.5'
OWNER/LESSEE:
CONTRACTOR:
Name Frank and Gail Antetomaso
Name: Richard Murray
Address: 1 Dolphin Dr.
Company: Shoreline RV & Mobile Home Repair, Inc.
City: Massapeque State: NY
Zip Code: 11758 Fax: n/a
Phone No. 516.297.2603
Address: 1290 NE Business Park Place
City: Jensen Beach State: NY
Zip Code: 34957 Fax: 772.334.4335
Phone No. 772.334.4334
E-Mail: libichon@verizon.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: RFM9815@aol.com
State or County License: 16673/CRC57268
rr .awe or construction is >z�w or more, a RtcuRDEO Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
Name: nuanWmErglneeengAssodates
MORTGAGE COMPANY:
Name:
X Not Applicable
Address: 300 Aveme of ceamrm
Address:
City: Palm sewn careens State: FL
Zip: 33316 Phone: 561202.69Nd
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: x Not Applicable
Name:
BONDING COMPANY:
Name:
x Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Signature of Owner/ Agent/ Lessee Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF Martin
The forgoing instrument was acknowledged before me
this 2nd day of September 20 14 by
Richard F. Murray
(Name of person acknowledging )
(Signature of Notary Pu lic- Sta of Florida )
Pers66ally Known x
Type of Identification Pr
Commission No.
OR Produced Identification
eal) XWATma STEFAN
NeWY P*ft • Stdo of F
STATE OF FLORIDA
COUNTY OF Martin
The forgoing instrument was acknowledged before me
this 2nd day of September 20_1g by
Richard F. Murray
(Name of person acknowledging)
ry Public- State
lsersonally Known x
Type of Identification P
No. FF083526
OR Produced Identification
JONATNAN STEFAN
�� CarnbsNn 0 FF 063526 i�.t MY Comm. ErpUes Jwn 15, 2018
Revised07/15/2014 Comm,$I 0FFp63526 l
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE 'n
COMPLETE Imo/
INITIALS