HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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- - ---- --- Building Permit Application FEB 17 2016
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION Demolition
PROPOSED IMPROVEMENT LOCATION:
Address: 19 NETTLES
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 19 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 3800-251)
Property Tax ID#: 4502-501-0205-000-8 Lot No.19
Site Plan Name: Block No.
Project Name: ALEXANDER
Setbacks Front Back: Right Side: Left Side: 6
DETAILED DESCRIPTION OF WORK:
REMOVE CONCRETE SLAB FOR OLD RV PARKING
CONSTRUCTION INFORMATION:
Additional work toa er orme under this permit–check a appy:
HVAC E]Gas Tank []Gas Piping _Shutters Q Windows/Doors
11 Electric F-1 Plumbing Sprinklers El Generator Roof
Total Sq. Ft of Construction: S . of First Floor:
Cost of Construction:$ 1,500 Utilities:)Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Edward Millan&Debra A Alexander Name: MACK MATOS
Address: 11348 Briarwood PL Company: MEL-RY CONSTRUCTION
City: North Palm Beach, State:FL Address: 10967 S OCEAN DRIVE
Zip Code: 33408 Fax: City: JENSEN BEACH State:FL
Phone No.772-229-0012 / 'J ry.y1.r_py J-3 Zip Code: 34957 Fax: 772-229-9440
E-Mail: d C 664 lis" n Y 4 h 00.L.o on Phone No. 772-229-9439
Fill in fee simple Title Holder on next page(if different E-Mail: MACK@MEL-RY.COM
from the Owner listed above) State or County License: 23630
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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
commencing work or recording our Notice of Commencement.
Ee/-t 72 s
4LORSignature-of Owner/Lessee/Agent Signature of Contr ctor/License Holde
STATE OF FLORID�I STATE OF FLORIDA
COUNTY OF cam: �U� COUNTY OF
The forgoing instrument pas acknowledged before me The forgoing instrument was acknowledged before me
this // day of �' , 20 Eby this I h day of V—m . 20 by
(Name of p rson acknowledging) (Name of person acknowle ging
144 ,
(Signature of Notary Public-State of Flor'd (Signature of Notary Public-State of Florida)
rsonall K 'Y N�Ri egrJecF1Sen Nca on Personally Known OR Produced Identification
neVType of Iden icia� ll224190 Type of Identification Produced 'r L D.I_.
%Md Expires 1o/1212o1s
Commission Commission No. N S. NIELSEN
Commission# FF 115637
'� •'- Commission Expires
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS