HomeMy WebLinkAboutbuilding permits ILE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
101000�eat �
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 X_______
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1249 Nettles Blvd Jensen Beach,FL 34957
L 1249 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 4007-1608)
g
Le dI Description: NETTLES ISLAND INC,ACONDO-SECTION II PARCE
Lot No.______._—.
Property Tax ID#: 4502-501-1436-000-3
Block No.
Site Plan Name: 1249 Nettles
Project Name: Powell
______
Back: Right Side: _Left Side:
Setbacks Front
DETAILED DESCRIPTION OF WORK:
Change existing 150 AMP meter/main to 200 AMP meter/main
Run two (2) 20 AMP circuits for dock
1 - 20 AMP 240 V for lift
1 - 20 AMP 120 V for two 2 receptacles
CONSTRUCTION INFORMATION:
Ad Itlona wor to e e orme uII el t is permit—c ec a aPP Y:
Shutters ❑Windows/Doors
13HVAC Gas Tank Gas Piping —
z Electric Plumbing Sprinklers
Generator 0 Roof Roof pitch
Total Sq. Ft of Construction:
So. Ft.of First Floor:
Cost of Construction:$ 1660 Utilities: _Sewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Jeffrey P Powell
Name: Donald B Green
801 Little Neck RD Company. Don Green Electric LLC
Address: 1305 W 1st Street
City: Virginia Beach State:VA Address:
23452 Fax: City: Fort Pierce State:FL
Zip Code: 34982
Zip Code: Fax:
Phone No.E-Mail: Phone No. 772-418-5739
Fill in fee simple Title Holder on next page(if different E-Mail: dongreenelectric@gmail.com
from the Owner listed above)
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 MORTGAGE COMPANY: x—Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: X Not Applicable
Name: 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
commencing work or recording our Notice of Commencement.
�-, S
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
The f oing instru ent w s acknowledged before me The?forgoing instrument as acknowledglecl before me
this day of 20 &by this�'U day of� 201f by
Donald B Green Donald B Green
( ebofrson acknowledging (Nam f person knowledging)(Si atur of Notary)5ublic-State of Florida) (Sign re&f Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of identification Produced Type of Identification Produ
w JOY CHRISTINE COPELAND
( }iRISTiNE COPELAND Commission No. MY f� 6PION#FF948E42
Commission No. Flwil&'�
�e ,= EXPIRES:JAN 05,2020
GntMY COMMISSION#FF948842 ��l EXPIRES:J Bonded through 1st State Insurance
!• Bonded through 1 st State Insurance
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS