HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '� r Permit Number:
•
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential yes /y
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1247 Nettles Blvd
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 1247 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 3683-543)
Property Tax ID#: Parcel ID:4502-501-1434-000-9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace Manufactured home Air Conditioning unit. 14 SEER 8 KW
CONSTRUCTION INFORMATION:
Additional work to be Dertormed un ert Is perm it—check all apply:
❑✓—HVAC Gas Tank Gas Piping _Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ Utilities: Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Laura M Imbordino Name: DAVID J KRUSE
Address: 1247 Nettles BLVD Company: A/C DOCTORS INC
City: port st lucie State:F1 Address: 1853 SW BILTMORE ST
Zip Code: 34957 Fax: City: PORT ST LUCIE State: FL
Phone No. 630-640-0389 Zip Code: 34984 Fax:
E-Mail: imbordino@att.net Phone No. 7726264629
Fill in fee simple Title Holder on next page(if different E-Mail: ACDOCTORSINC@GMAIL.COM
from the Owner listed above) State or County License: CAC058461
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: _Not Applicable
Name:Lam M Imbordino Name:DAVID J KRUSE
Address:1247 Nettles Blvd Address: 1247 1,101e5 8LVD
City: Port st lucie State: City: PORT sT LUCIE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: 1853 SW BILTMORE ST Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 yqur pro erty. A Notigp of Commencement must be recorded and posted on the jobsite
before the first' spe f you i to obtain financing, consult with lend r o attorney before
commencingrk re rdi ur Notice of Commencement.
skaoGre of O Contractor as Agent for Owner Signat a of Contr or/License Holder
STATE OF FLO STATE OF FLORIDA7
COUNTY OF_ ///,rns:I✓ COUNTY OF IYII "Al
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this dayof 20!J by this / dayofeTLL 20L7by
bAjt& ,7A�0e<5 AXJ!W /lip✓/A V-4-65 -Isf
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known OR Produced Identification f
Type of Iden 'f ation Type of Identifi 'o
Produced �L Produced
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17