HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: % -7 ) -7 Permit Number:
IN QgGANWED
1-1i BY
RECEIV, ED
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_ ^ � Building Permit ApplicatioLR
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Planning and Development Services
Building and Code Regulation Division Department
2300 Virginia Avenue, Fort Pierce FL 34982 r FL
Phone: (71%2) 462-1553 Fax: (772} 462-1578 Commercial
II II =�
PERMIT
APPLICATION FOR: Mobile home
PROPOSED
IIVIPROVEMEY(VT
LOCATION
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Address: 6'14 Nettles BLVD
Legal Descillption: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 614 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 3984-1043)
Property Tax ID #: 4502-501-0800-000-9 Lot No.
Site Plan N "me: Block No.
Project Name: Snyder"PERMIT
Setbacks Lj Front 1 b. Back: Right Side: eft Side:
MOBILE TIE DOWN- 20 X 39}C(�ep) ale m 0n4
Additional) worK to be errormea unaer tnls permit— cnecK all apply:
�HVA'C Gas Tank Gas Piping _ Shutters Q Windows/Doors
Electric Plumbing Sprinklers 1:1Generator Roof Roof pitch
Total Sq. Ft of Construction: 780 S . Ft. of First Floor: 780
Cost of Construction: $ 2475 Utilities: Sewer El Septic Building Height:
OWNER%LESSEE �^ t £ :
CONTRACTOR r
Name Jonl,K Snyder
Name: EDDIE GRUNDEL
Address: 014 Nettles BLVD
Company: TOMS MOBILE HOME SETUP
Address: 4460 BRADY RD
City: Jensen Beach State: FL
City: ST. CLOUD State: FL
Zip Code, 34957 Fax:
Phone N. 7
Zip Code: 34772 Fax:
Phone No. 863-529-2370
E-Mail: 1
Fill in feelsimple Title Holder on next page (if different
E-Mail: nancyarmstrong61@gmail.com
from thelOwner listed above)
State or County License: IH1118467
If value of Fonstruction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE i
ENTA`L CONSTRUCTION
LIEN LAIN 1NFORMATl01V
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DESIGNE
%ENGINEER: x— Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Joni,!
Snyder
Name: EDDIE GRUNDEL
Nettles BLVD
Address: ,i4
Address: 614 Nettles BLVD
City: Jensen
Beach State:
City: ST. CLOUD State:
Zip: !1
rl
Phone
Zip: Phone:
FEE SIMPLE
Name: ���!
TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
BRADY RD
Address:
Address: 4,60
City: ll
City:
Phone:
Zip: Phone:
Zip: I
I it
OWNER/ C , NTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that 1 o work or installation has commenced prior to the issuance of a permit.
St. Lucie Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in coiflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Ple se 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 str,ctures, 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
improvennhts to your property. A Notice of Commencement must be recorded and posted on the jobsite
before thee irst inspection. If you intend to obtain financing, consult with lender or an attorney before
commenci ig work or recording your Notice of Commencement.
Signature of owner/ Lessee/Contractor as Agent for Owner
STATE OF IFLORII�/� &� J
COUNTY F
The forgoin inst u nt s acknowleciar �before me
this LO day of 20U`i� by
Na"me of perso aking statement
Personally Known OR Produced Identification
Type of Ides tification T
Produced .V
(Signatu 8f No r Public- State df.�MSAIZMSTRCsh! ,
COM( cM�IaS ION # FF197899
Commissio No. EXPIRI`Ti F bruary 10.2019
..,- __ FtoridaNptarv.�ervicr_.cnm !
�7dA,,� .6-7��
Signature of Contractor/License Holder
STATE OF FLORID/5� Z
COUNTY OFF
The forPoing in ru ent s acknowledged before me
this Iy day of _, 201 y
�� � r L•Llil
Name of person aking statement
Personally Known L,011 Produced Identification
Type Identific-tioL
Produced
�'��((��-Ded
(Signature of Notaryu ic- State of Florida )
Commission No, - NANCy4%TMSTRONG
Y COMMISSION # FF197899
40EXPIRES February 10, 2019
(7)39$
rnce.con:
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FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
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Rev. 8/2/17