HomeMy WebLinkAboutBuildng Permit ApplicationALL APPLICABLE INFO MUST BIE COMPI.ETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
ptan Bruilding permit Applicatiron
Setvtcr=s
Building ond Code Regulotion Divi.sion
2300 Virginia Avenue, Fort pierce ,FL 34gg2
Phone: (772) 462-1553 Fax: (7,72) 462_:1578 Commercial Residentia I
Legal Descripllon. Nettles lsland Inc, A cond' Section ll parcel i17
Property Tax lD #:
Site Plan Name:
4502-50 1-0303_000_5
Lot No.
Project Name: King Residence Block No.
Setbacks Front__ Ba ck;Right Side:Left Side:
Remove & replace meter pedestal.[.lpgrade grounding.
ronat wo permtt - ctlrl
a ppty:
HVAC Gas Tank
Plumbing,
Gas Piping
Sprin klers
l-l *,noo*s/Doors
Electric I tl
Sh utters
Ge nerator !Roof Roof pitch
Total Sq. Ft of Construction:Sq. Ft. of First Froor:
Utilities: I lsewer I lseptic Building Height:_
Cost of Construction: $ 2300.00
PERMIT APPLTCATTON FOtt: ftecrtricat
PRoPoS ED I M pROVli]yt ENT Loct
Address: 117 Netfles Blvd
lf value of construction is SZSOO o, rno,e, r rraat *
DETAILED DESCRIPTION Of: WOR}r.:
OWNER/LESSEE:CONTRACIOR:p-6g Robert B Kting
Address:36 White Oak Lane
City: Tuckerton
ZiP Code; 08087
State: NJ
phone ps.609-339-9623
E_M a il : backyardfarm 1 @gmail.com
Fill in fee simple Title Holder on ne:xt page ( if different
from the Owner listed above)
Name: Kent Blosser
Company: Blosser Electric
Address: PO Box 7305
City; Pott St Lucie
ZiP Cofls; 34985
phone No. 772-337-00tt5
E_Mail: nrblosser@gmail.com
State or County License; EC13001570
i'1,!1lii,:^.,t0[[*f;i: jg!;prltirg a permit wil
structuie rjr6i,.r",i,rf o*"",.ji!iA{i,3i,"i#jffig# ff:}}.!Slg?tl?,?..i}i:!,?itor any restrictions uiniih-riIn consideration of the granting of this requested permit, I do hereby agree th.atl -,,ir. ,iir"r*:J, ;JiH,;In accordance with the approved plans, the Ft,rrida BriiJi";;;;;i.iii,llr.i" county Amendments.The following building permit applications are exempt from undergoing a full concurrency review: room additioraccessory structures' swimming pools, fences, walls, signs, screen rooms ano accessory uses to another non-resi
OWNER/ CONTRACTOR AFFtDV|T: Apr
I certify that no work or installation has comi
: Your failure to llecord a Notice of commencement may result in your pa
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o
):^, f :^"1 ^._"^lT,g 1. " T . ;trn u it o " i. i
"
i j
"ii. . o p o s t e don. tf you tend to obtin ii"riCili!,'i"rrrit *iiF"l:'r:'"1#:,1tF,, LVt Iotice of Commence6enr.
Rev.8/2/17
rbject structuret or prohibit such
ion as indicated
tial use
the jobsite
before
_ ttJot Applicab
Name.Roberl B Ktins
Add feSS: .1 17 Nerfles Brvd
City: rr"r",ton
MORTGAGE COMPANY:
l\ame. Kenr Blosser
AddfeSS: ro wnir" o"r rril
City: eon st r-u"i"
Zip: phon".
t Applicable
State:
FEE SIMPLE TITLE HOLDER:f Er JilyrFLE r | | LE HULDER: _ Not ApplicableName:
[jd1955.co eox zsG
City:
Zip:_ phon",
BONDING COMPANY:
Name:
Zip: phone:
Applicable
Signature of owner/ terrGlContr..tol. a, nF;t f"r. Ow."r,
The ing instrument wasthis day of 4ao
acknowl ,efore me
h.,vy
Name of person rnaking statement
Personally Known y'__ OR produced ldentification
Type of ldentificatiin --
commission N". C{r0q I gt0
State of
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF
Name of person paking statement
Personally Known \/ OR produced ldent
tary Public- State
GG4q I 0t
FRONT
COUNTER
ZONING
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
DATE
COMPLETED