HomeMy WebLinkAboutImbordino Application (1)ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION
Date: �iV4e 'Jel 7
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Building Permit
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 452-1578 Commercial
TO BE ACCEPTED
Permit Number:
Application
Residential
PERMIT APPLICATION FOR: To Select from dropbox,
click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: �2� '` �<'S Y'� �7
E�
�C�7 y� / /' 9_7
Legal Description: fwex 1* G C
/
. tt�� �� �C d 1.2 %tots/
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Property Tax ID #i:�- jf "�`
-- Lot No.
Site Plan Name:
Project Name:r
Block No.
Setbacks Front Back: Right Side:
Left Side:
DETAILED DESCRIPTION OF WORK:
,�� �/✓� /l ig 'C�E'e "'l-Ki cool dll ce.• 0;0e -e't_ ,004:. _
/C,�4� LJ/�IQ/i!/C1T G.f•ri�7ll JDitt.% vL G�/."ri i�S 651C�7—
o o 004,,r,' / O 6Y 20 i '; da
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit —check
® 0Gas Piping
a app y:
Shutters Q Windows/Doors
H'VAC Gas Tank
#�1 Electric ❑ Plumbing O Sprinklers
ElGenerator E]Roof Roof pitch
Total Sq. Ft of Construction:
f .&.—Utilities:
S Ft. of First Floor:
®Septic Building Height:
Cost of Construction: $
� Sewer
OWNER/LESSEE:
CONTRA O
Name e!/Ci��.ei!'r;.a�Name:
1�.rti'j
Address: e e�1131_"
Company:
�414111
City: �! ��Jf'�i7 State:r��
Address: ' z II'ra fj/ + /� �'
Zip Code: y' Fax:
City: State:
Phone No. rd �d
Zip Code: 3�c► Fax:
E-Mail: Y
Phone No. '77Z
Fill in fee simple Title Holder on next page (if different
E-Mail:
6
from the Owner listed above)
State or County License: r [ 13 + 6oct
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: _Not Applicable
Name:.
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
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 b iryecoed and posted on the jobsite
before the first inspection. If you intend to obtain financing, consu er or an attorney before
commencing work or recording your Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20 by
(Name of person acknowledging)
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No. (Seal)
Revised 07/15/2014
Signature of Contractor/License
STATE OF FLORIDA
COUNTY OF Ci
The fr q�g instrum was acknowledged before me
this y of i 20 l by
owledging
(Sig
of Florida )
Personally Known l/ OR Produced Identification
Type of IdentificationProduced
Commission No. I ` J (Seal)
Notary Public - State of Florida
Commission x FF 986729
rlu rn-- C. ie.e Ant 07 7r19n
+nni.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION— S L
A
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Added(2)New
20 AMP CFI's.
Existing (1)
20 AMP GFI
EXISTING DOCK
Adam Chapman Electrical Services
Lic#: EC13006096
DOCK/COMMUNITY SIDEWALK
PROJECT DESCRIPTION:
• Add New (2) Gang; Box With Dual 20 Amp GFI
Oulets;
• Run New Circuits For Existing GFI And New GFI
Locations.
• Re lace Existing Deteriorated !:" PWC Conduit.
• Add 2 Pole 20 Amp Breaker To Existing Panel,
LAURA IMBORDINO (RESIDENCE)
1247 NETTLES BLVD, JENSEN BEACH, FL 33457
New Above Ground
1/2" PVC. (2) Circuits
for CFI's. (1) New,
(1) Existing.
Pavers 17 — 7 — R
Replace Buried
1/2" PVC. Used to
feed (2) GFi
Locations. (Dock)
Existing
Dock
Electric
Sub -Panel
SiteAddnss:
Pars) ll):
Account P:
Map m:
Use Type:
Zoning-
Cily,countp:
ownership
Lava M Imbardua (TR)
1347 11,111- BLVD
Jensen ticacta FL 34957
Michelle Franklin, CFA— Saint Lucie County Property Appraiser—All rights reserved.
Property Identification
1247 NETTLES BLVD
4502-541-1434410LL9
Legal Description
NETTLES ISLAND INC, A CONDO -SECTION Il PARCEL 1247 AND PR( -RATA SHARL IN COMMON
BLENEWS (OR 3691-.543)
Current Values
JustlMadcer Value:
$210,300
Assessed Value:
5220.230
Fncary---
5411.006
Taxable Value:
51711.234
Traces for this pang SLC T1s. C01 -k 6 Utri- IR
Dovrulwd TR)M for this parcel: DmTdcad PI)f 0
Total Areas
Finished/Under Air (SF): 1.094
Gross Arca (SF): 1.115
Land Size (ears): 6.05
Land Sbw (SF): 2,111
121419
45W
0200
FFIRD
Servs Lucie Caamy
This infbnuation is believed to be corset at this time but it is subject m chwtac and i nor warrmI d.
,�ci copyright 3017 Saint Lucie County Properly Appraiser. All rights rest od