HomeMy WebLinkAboutBuilding Permit All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/17/2019 Permit Number: `
J
C0UNTY
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 TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: 7 Nettles Boulevard
Property Tax ID q: 4502-501-0193-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
FDETAILED DESCRIPTION OF WORK:
Electrical connection for boat lift.
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: $ Utilities. _Sewer _Septic Building Height:
OWNER/LESSEE: CONTRACTOR:Florida Sky Electric Inc.
Name Dejan Stojic Name:Charles S Lombardo Jr.
Address:7132 Mariana CT Company:Florida Sky Electric Inc
City: Boca Raton State: _ Address:2303 Club House Road
Zip Code: 33433 Fax: City: N Fort Myers State:FL
Phone No.954-818-4414 Zip Code: 33917 Fax:
E-Mail:dean@stojic me _ Phone No239-994-2272
Fill in fee simple Title Holder on next page(if different E-Mail floridaskyelectric@yahoo com
from the Owner listed above) State or County License FL EC13008889 County 31210
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/
hone: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_yOkJR LE DER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/Lessee/Contractor as Agent for Owner Signature cif Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA \
COUNTY OF )t 011WUr� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instru ent as acknowledged before me
this=1 day of 20 If by this�day of 20_L� by
; zA t /(5 !!F) -1lZcif
Name of person making statement. / Name of person making statement.
Personally Known OR Produced Identification ✓ Personally Known_ _ I I I C
Type of Iden ificTation, Type of Iden icat n '' "" ' •me . m A Fiofoa
Produced ) L� w4,I �,+C.er� Producedj, I ` it Ae� 4rtr rr
GG 1 SS464
as -�:ves J17 1021
��►►''�r '.otary Nub,c State of F!ona
Nafhahe Boneta j
ignatur of-Notary Public- F�pri `
a�a [ s 0z0azo2+ ( atu otary Pub State of Florida)
Commission No.O(, Commission No. 61/ 6 ('y (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.