HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. 03/18/2019 Permit Number: `\43
• RECEIVED
- Building Permit Applicaion AR 18 ,Q19
Planning and Development Services
Building and Code Regulation Division I ST. LtJCi�Cnynty, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 --
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X '
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION
Address: 419 Nettles Blvd
Property Tax ID#: 4502-501-0605-000-2 Lot No.
Site Plan Name: Block No.
Project Name: James T Long res.
I.DE.TAILED DESCRIPTION OF WORK:
remove and replace 150amp meter/main combo electric service. 'like for like"
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit–check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
Electric _Plumbing _Sprinklers Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1500 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: "CONTRACTOR:
Name James T Long Name:Daniel Stubbs
Address:419 Nettles Blvd Company:S&W Electric Inc
City: Jensen Beach State:_ Address:501 W Coker Rd
Zip Code: 34957 Fax: City: Ft:Pierce State:fl
Phone No. Zip Code: 34945 Fax:
E-Mail: Phone No7724646466
Fill in fee simple Title Holder on next page(if different E-Mail stuboutelectric@aol.com
from the Owner listed above) State or County License 30071
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
A,
Signature of Ow essee/Contractor as Agent for Owner Sign ure ofontr or License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF 'S�r-
The forgoing instrument was acknowledge%before me The fo oing instrument was acknowled ed before me
this \ day of `Ma ,20 A by this`1 day of VgNO-'( 20� by
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 ll b L- Produced
(Signature of Notary P lic-State of Florida Signature of Not rieStjb 1,N6
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' D NAPAARIEGIVENS
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Commission NO.Cs�O'1- (,1 gig (&eabMIAISSION#GG 022023 mmiSsion NO. $ dThruNotary(WcEQderw6ters
EXPIRES:December 16.2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE'
COMPLETED
Rev. 217119