HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI -
SAFE HARBOR HOMES,LLC Fax:863-658-2218 Feb .3 2015 10:02am P004/006
ALL APIICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED FEB 0 ` 3
Dates 1l27/2015 Permt Number: 1501-0319
5 ; ;"..�:,ry. ,..•; fir. :: SCANNED
BI ing Perlin it Application
Plannin II and Development Services
Building cnd Code Regulation division
1 2300 Vl Info Avenue, Fort Pierce FL 34982
Phone: 772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
P'ERMl APPLICATION FOR: Mobile home
.PR "tED:I.MP.R�VEMENT LOCATIQN "..;.•::.::: '
Address: $86 NETTLES BLVD
Legal Description: NETTLES ISLAND, INC
Property'
Site Plan 1
Project U
Setbacks
AaTv
ID #: 4511-501-1072-000-3 Lot No. 886
le: Block No.
Front Back: Right Side: Left Side:
i:bES.GRIPTION'OF WO:RK:.::.` :;•::.: ::; :'
31LE REPLACEMENT
CO.NSTR. gWN';INFORMAT10N
ilwor o oe e rme under Mis permit— check a Opp y:
121M
Z✓ Eli
Total Sq.
Cost of C
Na
City: %MN;
Zip Code:
Phone No.
E-Mail•_
Fill in fee
from the
----------
If value of
L.,1 Gas Tank L— JGa;
ZIPlumbing ospr
Construction:
ictlon: $ 2450,00
Piping _ Shutters E] Windows/Doors
nklers Generator 11 Roof
S - Ft- of First Floor:
Utilities:Rsewer Q Septic Building Height: 13'
BAIR Name: THOMAS GRUNDEL
NETTLES BLVD Company: TOW MOBILF. HOME
I gBAC;H State: FL Address: 3344 HENRY J AVE
957 Fax: City: Si CLOUD State: FL
Zip Code: 34772 . Fax:
Phone No. 407-908-
pie Title Holder on next page ( If different E-Mail: noneyarmstmng6l@gmail.com
ter listed above) State or County License: IH1026148
Is $2500 or more, a RECORDED Notice of Commencement Is required.
SAFE HARBOR HOMES,LLC Fax:863-658-2218
Feb 3 2015 10:02am P005/006
:SUPPL:MPN7AL:CO;NS.TRUCTI.O;NLLE•N,:LAIN.INFORMATIQN,::-:.;.:.'..'
DESIGNS�J
Name: N!A
Address'tI
City:
Zip:
ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:' wA
Address:
City: State:
Zip: Phone:
IN State:
ICI Phone:
FEE SIM�,
Name: N(A
Address
City:
Zip:
LE TITLE MOLDER: _ Not Applicable
BONDING. COMPANY: ,Not Applicable
Name: wA
Address:
city: _
T
iI Phone:
Zip: Phone:
I certify t �''at no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyy makes no repre egItion that Is granting a permit will authorize the permit holder to build the subject s cture
which is.i 'I nffict with any app ica a Home Owners Association rules, bylaws or an covenants that may restrict or pro ibit 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 fiollo% ng building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory ° ructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
'WARNIP G TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improve ents to your property. A Notice of Commencement must be r orded and posted on the jobsite
before t e fl spectlon. If you intend to obtain financing, consult h ender or an attorney before
comma ''c' wcWk or recording our Notice. of Commencement.
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III
l a7rC. �
nature of Owner/ Agent/ Lessee IsIgnature of Contractor/License Holder
I
STATE OF FLORIDA STATE OF FLORIDA
COUNT) OF STLUCIr COUNTY OF STLUCIE
The fo Ing Ins t was acknowledge b re me The for Ing i ru ent was acknowledged ? fore me
thiiday o p y ti,isr�iday o 20jfi
THpMA$ QR, Nr L THOMAS GRUNDEL
(Name of Gerson acknovylgdging) kNam4f person acknowleing )
Type of
MY
07/15/2014
State of Florida ) 3 1 (Signathre of Nota?yPublio- State of Florida)
Personally Known x OR Produced Identification
Type of Ide jfii `PFgM
,Lamar l�013 I Commissio _#' .p6 Y oO�MISSION a OO52
tolary�®�y1ca.Fom J , , r c .••' EXPIRES Januery 30, 2016
REVIEW
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
k
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
LA
COMPLETE
INITIALS
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