HomeMy WebLinkAbout8 Nettles BlvdALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
C:C7UNTY
fF L .O R I. ID Sl
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 Commercial Residential X
Address: 8 Nettles Blvd
Legal Description: NETTLES ISLAND INC, A CONDO -SECTION II PARCEL 8 AND PRO -RATA SHARE IN
COMMON ELEMENTS (OR 4123-1855)
Property Tax ID #: 4502-501-0194-000-7
Site Plan Name: 8 Nettles Blvd
Project Name: Fuentes
Setbacks Front Back:
DETAILED DESCRIPTION OF WORK:
Electrical for boat dock see permit 1804-0857
Right Side: Left Side:
Lot No._
Block No.
CONSTRUCTION INFORMATION:
Additional wor to jeer orme under -11: is permit - c ec a appy:
HVAC L _I Gas Tank ❑Gas Piping Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 11 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1300
Sq. of First Floor: _
Utilities: rSewer F-] Septic
Building Height:
OW N ERAESSEE.
CONTRACTOR:
Name Jose Alejandro Fuentes
Name: Donald B Green
Address: 1651 W 37th ST Ste 406
Company: Don Green Electric
City: Hialeah State: FL
Zip Code: 33012 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)
.r
E -Mail: dongreenelectric@gmail.com
State or County License: EC13007447
-��_ -e-Ut-WIN V1 111VIc, d —wKutu notice or o-ommencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
L.
Zip: Phone:
UWNbR/ 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 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
commetaciniz work or recording vour NotirP of f'nmmPnrPmPnt
Rev. 8/2/17
Signature of Contractor/License Ho der
Signature of owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDAI
STATE OF FLORIDA
COUNTY OF �-'� 0�_f Id
COUNTY OF
The forgoing instrument was acknowledged before me
The fing instrument was acknowledged before me
this day of ar 20�jby
this day of 20
f�by
�
Name of per on making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known .x` OR Produced Identification
Type of Identification
Type of Identification
Produced
ProcludAd
(Signatu of N tart' Public
(Sig ture Notary Public- St to o i
1.o vp a JO CHRI INE GOPELAND
w `� MISSION #FF948842
Commission No.
=ani
^'Y'p JOY CHRISTINE COPELAND
Commission No. MY CO
2°t. `, (utg��71y #FF948042
a EX IRES: JAN 05, 2020
Bonded through
EXPIRES: JAN 05, 2020
u„ 1st State Insurance
Bonded through 1st State Insurance
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17