HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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F L o R c o A
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
Address: 119 Nettles Blvd
Commercial Residential X
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 119 ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 254-342; 3173-1207)
Property Tax ID #: 4502-501-0305-000-9
Site Plan Name: 119 Nettles
Project Name: 119 Nettles
Setbacks Front Back:
Right Side
Left Side:
Lot No._
Block No.
DETAILED DESCRIPTION OF WORK: I
Service change 200 AMP like for like
CONSTRUCTION INFORMATION:
Additional work toa nertormed under this permit — check all tha appy:
HVAC D Gas Tank Gas Piping El Shutters Windows/Doors
ZElectric 0 Plumbing 1:1Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: 908
Cost of Construction: $ 1700
S Ft. of First Floor: 908
Utilities:Cn Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Judith M Harrigan
Name: Donald B Green
Address: 770 NW 10th Terr
Company: Don Green Electric
City: Stuart State: _
Zip Code: 34994 Fax:
Phone No.
Address: 1305 W 1st Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: dongreenelectric@gmail.com
State or County License: EC13007447
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not Applicable
Name:
Address:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY: X 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 be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commegcinR worK or recorainia vour Notice OT L ommence
r,& 4M-0 � -
ntractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF Manor
The forgoing instrument was acknowledged before me
this day of , 20 _by
Personally Known x OR Produced Identification
Type of Identification Pro -- —^--
re of Contractor/Licefsse Holder
STATE OF FLORIDA
COUNTY OF Martin
The forgoing instrument was acknowledged before me
this 261h day of February 120 by
Donald B Green
(Name 4 -PE
Personally NnoW x OR Produced Identification
Type of Identification Produced
JOY CHRISTINE COPELAND
r°P4°6� MY Ct�
Commission No. ION #FF94B0�42 Commission No.
EX IBES: JAN 05, 2020
��aR� Bonded through ist State Insurance
Revised 07/15/2014
JOY ��//�R��,,IS NE COPELAND
MY CONfN11I ON #FF948042
EXPIRES: JAN 05, 2020
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