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1400 Nettles Blvd
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Permit Number: Building Permit Application Commercial Residential X PERMITTYPE: Electric PROPOSED IMPROVEMENT LOCATION: Address: 1400 NETTLES BLVD Property Tax ID It: 4502-501-1587-000-6 Lot No. Site Plan Name: 1400 Nettles Block No. Project Name: 1400 Nettles DETAILED ©ESCRIPTION OF WORK: Remove existing pedestal power and build new 160 AMP stand alone service 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. _ Cost of Construction: $ 1600 Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Weight: OWNER/LESSEE: NameVirginia M Sayers Address:3163 Blairhill Ct City: Atlanta State: Zip Code: 30340 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) CONTRACTOR: Name: Donald B Green Company: Don Green Electric LLC Address: 1305 W 1st Street City: Fort Pierce State: FL Zip Code: 34982 Fax: Phone No772-418-5739 E-Mail dongreenelectric@gmaii.com State or County License EC13007447 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. OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to uv uie WWI R 01lu ,����Q„a,.,,• , ••• •�-.-_ 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." Signature of owner/ STATE OF FLORIDA COUNTY OF as Agent for Owner The fo Ding instrumen wa acknowledged before me this day of 2D�Y Name of person making statement. Personally Knowrry �_ OR Produced Ident nation Type of ldentificration ., n of Notary Commission No. REVIEWS FRONT COUNTER DATE RECEIVED DATE COMPLETED �s G�, 937752 Signature of Contractor/License Hoioer STATE OF FLORIDA COUNTY OF The fo Eng ins this day of Name of person making statement. me Personally Known OR Produced Identification Tvoe_of Identification ZONING EATURT REVIEW I SUPERVISOR REVIEWREVIEW VEGETREVIEWON S REV EWLE MREVIEWVE