HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
i016i2017 Permit Number:
Date.
�Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34952
Phone: (772) 462-1553 Fax: (777) 462-1578
PERMIT APPLICATION FOR: EledriCal
Commercial Residential Xx
Address: 15 Nettles Island
Legal Description: NETTTLES ISLAND INC A CONDO SECTION 11 PARCEL 15 AND PROPRATA
SHARE !N COMMON ELEMENTS
Property Tax lb #:
4502-501-0201-000-0 Lot No._
Block No.
Site Plan Name:
0 HVAC
1 _t Electric
DN INFORMA1.
tojeer arme
i Gas Tank
LJ Plumbing
Total Sq. Ft of Construction:..
Cost of Construction: $ 1950.00
)N:
er This permit c
Gas Piping
Sprinklers
ck all apply: _
_ Shutters o Windows/D000rs�i
L�
Generator ORoof I_� Root Pitch
5 Ft. of First Floor:
Utilities:05ewer EjSeptic Building Height:
OWIVER7LE5SE:E. ,
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
R:
CONTRACTOR.
Name WILLIAM AND JANICE DOHERTY
Name: FRANK FITZPATRICK
Addres.s:269 NMETTLES BLVD
Company: ALFRED BRESSAW ELEC CONT INC
City: JENSEN BEACH State:FL
Zip Code: 34957 Fax:
Phone No.
Address: 883 NE DIXIE HWY # 7
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax:
Phone No. 7723344014
E-mail:
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E -Mail: ABRESSAW §HOTMAIL.COM
State or County License: EC0000915
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
UPPLE11�lENTA)L Cl NSTRUCTI0f'J LEEN LAAW i�FOR�I�4TIC�N:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: WILLIAM AND JANICE DOHERTY Name: FRANK FITZPATRICK
Address: 15 Nettles Iis2 d Address: 269 NMETTLES BLVD
City: JENSEN BEACH State: City: JENSEN BEACH tate.
Zip: Phone Zip; Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Bab NE 111XIE HWY # 7 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.
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 Name 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 tender or an attorney before
commencing work or recording our Notice of Commencement.
_3� ''
Signature w
On essee/Contractor as Agent for Owner 5ignat re of tontractor 7tTcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF-- COUNTY
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this fa day of OCTOBER 20 1-7 by this _Ila day of ocTOBER 20J7 by
FRANK FITZPATRICK AS AGENT FRANK FITZPATRdCK AS CONTRACTOR
Name of person making statement Name of person making statement
Personally Known - OR Produced Identification Personally.Known - OR Produced Identification-
Type of Identification Type of Identification
Produced V-t-De1i C__' Produced V1, 1) R_l�CL'
C
(signature of Notary Publi4 Atate of Florida )
Gina C. Jordan
Commission No. !/` (Seal) Stale of Florida
My Commission Expires 0812,
REVIEWS FRONT 20NING
COUNTER REVIEW
BATE
RFCEIVE
DATE
COMPLETED
Rev. 8/2/17
(Signature of Notary Publi`c)State of Florida)
P&O,� Gula C. Jordan
Commission No. K.a4 �,,{Seal) State of Florida
8ar�Q a Q� My Commission E=xpires 081'
SUPERVISOR
REVIEW VEGETATION i 5EA REVIEW MANGROVE
Oct.10.2017 4:24FM
October 10, 2017
Nettles Island Inc. condominium
Janice Doherty
15 Fettles Blvd.
Jensen Beach, Fl. 34957
ItE: Elech.ic Pedestal Unit 15
9801 South Qeean Delve, Jensen aanch, FL 34957
(772) 220-2930
FAX (772) 229-9901
Pursuant to your request, the Association has no objection to your replacing the Electric
Pedestal serving the unit located at Lotl 5, provided it meets current building cedes and is
permitted through St. Lucie County, and placed on your lot without eneroaOin.,g into the
neighring properly car setha&s. Please contract the caud0 office for l afion approvsl
before instaMng,
1f there is anything else we, crna do for you, please do not hesitate to ask.
ltcspectfixlly �:
Frank Fisher, or Janice Melaughtin.
Architectutal. Committee Chair
CC: Laura Jones, LCAM, File
Imola