HomeMy WebLinkAboutBuilding PermitALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number-.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34-982
Phone. (772) 462-1553 Fax. (772) 462-1578
Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 1309 NETTLES BLVD
Lega I Description. NETTLES ISLAND INC, A CONDO -SECTION 11 PARCEL 1309 AND PRO-RATA SHARE IN COMMON ELEMENTS (OR 1816-2683)
Property Tax ID #: 4502--501-1496-000-1
Site Plan Name: Kollock
Project Name: Kollock
Setbacks Froi Back: Right Side: _ Left Side:
DETAILED DESCRIPTION OF WORK:
Service change - like for like
Lot No. 1309
Block No.
CONSTRUCTION INFORMATION:
111,1al work to be 11111d"Di'll 111� III is permit — cneci< an apolly:
OHVAC EJ Gas Tank E]Gas Piping In Shutters 0 Windows/Doors
nV( Electric F� Plumbing OSprinklers OGenerator 0 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 1100
OWNER/LESSEE:
1487
Sq,_Ft. of First Floor: —
Utilities: L]Sewer D Septic
Name Kimberly Kollock
Address: 1309 Nettles Blvd
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.-
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Building Height:
CONTRACTOR:
Name- Donald B Green
Coni Don Green Electric LLC
Address: 1305WIst Street
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No. 772-418-5739
E-Mail: dongreenelectric@gmaii.com
State or County License: EC1 3007447
I
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
--'- - -�� I WE% MUFILOVI I. Appiwatton is nereby 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conwict 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 I you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
F_-
Signature of Owner/ Lessee/Contract*orAgent for -Owner
STATE OF FLORIDA
COUNTY OF MARTIN
The f9rzoing instrument was acknowledg d efore me
this-f5-day of October 12( Oby
DONALD B GREEN
Name of person making statement
Personally Known -_ X OR Produced Identification
Type of Identification
Produced r\
(Sidnatbie of Nota
Commission No.
REVIEWS
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
FRONT ZONING
COUNTER � REVIEW
�iignature of �Contra�ctor/License Ho�lder
STATE OF FLORIDA
COUNTY OF MARTIN
I
The forgoing instrument was acknowledgeUefore me
this 'J3-- day of October
JM5- 44 by
DONALD B GREEN
Name of per5on making statement
Personally Known x OR Produced identification
Type of identification
Produced'%
(Signatu
Commission No.
SUPERVISOR PLANS I VEGETATION
REVIEW I REVIEW REVIEW
of Flo
Commission
SEATURTLE I MANGROVE
REVIEW REVIEW