HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 113012018
Permit Number:
ILL
w
01101111, — Building Permit Application
Planning and Development Services
Building and Cade Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 fax: (772) 462-1578 Commercial Residential xxx
Address: 841 Nettles Blvd
Legal Description: NETTLES ISLAND INC, A CONDO SECTION It PARCEL 841 AND PRO RATA SHARE IN
COMMON ELEMENTS (OR 573-2118:1308-1367)
Property Tax ID #l:
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: j
REPLACE METER PEDESTAL WITH SAME
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit –check a appy:
L HVAC f] Gas Tank []Gas Piping 1:1_ Shutters Windows/Doors
Electric El Plumbing Sprinklers El Generator L1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1500.00
S Ft, of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameDORIS MIEDEMA
Address: 3724 KING GEORGE LANE_
Name: FRANK FITZPATRICK
Company: ALFRED BRESSAW ELECTRICAL CONT INC
City: SAINT CHARLES State:IL
Zip Code: 60174 Fax:
Phone No.
Address: 883 NE DIXIE HWY # 7
City: JENSEN BEACH State: FL
Zip Code: 34957 Fax: 7723348776
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: ECO000915
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION 11ENg I A1N INFOR1V FORMATION.-
,
ESIGNER ENGINEER: Not Applicable
DESIGNER/ENGINEER:
/ _ pp
Name: DORIS MIEDEMA
Address: 841 Nettles Blvd
MORTGAGE COMPANY: _ Not Applicable
Name: FRANK FITZPATRICK
3724 KING GEORGE LANE
City. JENSEN BEACH State:
City.
Zip: Phone:
C
City: SAINT CHARLES State.
Zip: Phone
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: 883 NE DIXIE HWY4 7 _
City:
BONDING COMPANY: Not Applicable
Name:
Address:
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 thepermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws cr 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
commencine work -or rerordina Your Notice of Commencement.
Rev. 8/2/17
7 'b
Signature of Contractor/Li nse Holder
Sign ture of 6wnerY Le a/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF---
COUNTY OF- -
The
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 30 day of JANUARY 20� by
this 3D day of JANUARY _-- __-- 20 by
FRANK FrrZPATRICK AS AGENT
FRANK F rrZPATMCK 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
Produced
$�NA-Q LAE
I
(Signa-
(SignaL;eor r�-5 a ec o i
lic tate FIMM
oary u
Dianna Knpht
Notary Public Stats 4f i sCommiN
Commission GG0989M (S I)
Fxptrea 0512112421
Comm i�$ Dianna Knight ( al}
My commies on 088988
Expires 05P21i22021
oc f�
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
Jan. 30, 201P 0:24AM
January 15, 2018
No, 6404 P, 1
Nettle ls- l In 1n.c. condominium
9801 `5.auih daean brive,,lensen Beach, FL 34957
02) _229--2930
FAX (T72) 229-9M
www.nettlesislandeondo.com
Robert N iede na #841
Doris Miedema
3724 King George Lane
St. Charles, TL 60174
lilmiedsdoris ca)att.nct
RR Electric Pedestal Unit 841.
Pursuant to your request, the Association has no ob�lection to your replacing the Meehic
Pedestal serving the unite located at Lot 841, provided it meets owent building codes
and is petrnitted tbrough St_ Lucie County, and placed on your lot without encroaching
into the neioboritag ptopcxty or setbacks. Plwc contact the condo office for location
approval before installing.
7f there is anything else, we can, do for you, please do not hesitate to ask.
Respectfally,
Frank Fisher or Howard Kicker tt
Architwtural Chairperson
CC: Lanza. Soiaes, LCAK pile
FF/lk
APPROVED
E] FILE COPY
Please be advised thatArchitectural Committee assumes no responsibility for the
structural adequacy, capacity or sr�. fete' features of the proposed construction, alteration
ter addition; or for performance, work-manship or duality ofworm of any contractoN or of
the completed alteration or description and shall not be relied upon as an approval or
warranty regarding engineering and structural design, building or zoning code
compliance, feasibility or marlketability for any purpose, or compliance with applicable
building ordinances, standards, or regulations. By rapprtrvirag the plans and
specifications, neither the architectural Committee or the members thereof,' the
Association, the Board, its employees and representatives assumes any liability or