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HomeMy WebLinkAboutBuilding Permit ApplictationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To 8E ACCEPTED Date: 4gI2017 hermit Number: Building Permit Application Planning and Development Services Building and Cabe Regulation division 2300 Virginin Avenue, Fort Pierce FL 34982 Phone: (772) 462-155.3 Fax: (772) 462-1578 C©1711'i`tercia'l Residential XX PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: [ Address: 2099 Nettles Blvd Legal Description: NETTLES ISLAND INC A DODO SECTION I PARCEL 99 AND PRO TAYA SHARE IN COMMON ELEMENTS (OR 203-1171: 1014-937;2280-224 31491119) Property Tax ID #: 4502-501-0102-000-6 Lot No. Site Plan Name: - Block No. Project Name: - Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: REPLACE ELECTRIC PEDESTAL WITH SAME 1 CONSTRUCTION INFORMATION: Additional work to be performed under tills permit =check all a I - - - pp y HVAC Gas Tank OGas Piping Shutters j� Windows/Doors Electric ElPlumbing Sprinklers ❑ Generator U Roof Roof pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 1695.00 Utilities: t _ISewer Septic Building Height: OWNER/LESSEE: NameJOHN RIPPINGALE Address: 4076a MANOR HOME RD City: LEESBURG State:VA Zip Code: 20175 Fax: Phone No. E -Mail': Fill in fee simple Title Holder on next page ( if different from the Owner listed above) CONTRACTOR: Name: FRANK FITZPATRICK Company: ALI*RFD BRESSAW ELECTRIC Address: 883 NE DIXIE HWY # 7 City: JENSEN BEACH State: FL Zip Code: 34957 Fax: — Phone No. 7723344014 E -Mail: 7723348776 State or County License: ECO000915 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. I. PPI fIV,�E-:NTAL. CO STRUC `ION LIEN LAW I€NFORKATIO : DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: w 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 your Notice of Commencement. l Signature4ofwnerj!Le�eontractor as Agent for Owner Signature4o'Contract /License Holder STATE OF FLORIDA COUNTY OF --- The fpygoing instrunwrit was a knowledged bffore me this day of iQIQKJ 20 by Ar FRANK FITZPATR{CK AS AGENT (Name of person acknowledging) Signature of Notary Public- State q Flo ' ) Personally Known OW Produced Identificat o Type of Identificat !Jgiary Public State or r+oriva Commission No. Manna Knigtlib1zs76 pmmissi lalE P. i ;Dimt 05/2 112 0 1 7 Revised 07115/2014 STATE OF FLORIDA COUNTY OF ^ The forgoing instrument was acknowledged before me this 7 day of '4'mc , 20 a by FRANK Frr2PATRECK (Name of person acknowledging) (Signature of Notary P blic- State op Fl ) timrlPf3btA1etE[bf Florida Dianna Knight My Commission FF 012576 �(Seal) Exr,irac 05191 Q REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS