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HomeMy WebLinkAboutPermit Application 48 Nettles Blvd.r All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: d _3 ° rl)ac) Permit Number: b Planning and Development Services Building Permit Application Residential Building and Code Regulation Division Commercial 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT APPLICATION FOR: PROPOSED IMPROVEMENT LOCATION: 0 Address: _ 5E)iiiLLS(_Y'9 CONTRACTOR: Name (Fj 151 --{NI L0 ilMr.:_`lEA Address-,, o 13 V4 -5 -T Name:_ EMEJ Property Tax ID #: jC� -_ 56> j _ y 2 L-1 - �©G - _U Lot No. iN' Site Plan Name: Project Name: I DETAILED DESCRIPTION OF WORK: Block No. �� prr C� r1 MC ror, _SMr <, rv,.� A// 5' S rc a ��✓s l"'Ci z '47 - New Electrical Meter Second Electrical Meter I CONSTRUCTION INFORMATION: I Additional work to be performed under this permit- check all that apply: chanical — Gas Tank _ Gas Piping _ Shutters Electric — Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: ., ?Z2' j Windows/Doors Pond Roof Pitch Sq. Ft. of First Floor: Utilities: —Sewer —Septic Building Height: OWNER/LESSEE. 0 :. FW OWA)E t ' ' CONTRACTOR: Name (Fj 151 --{NI L0 ilMr.:_`lEA Address-,, o 13 V4 -5 -T Name:_ EMEJ Cmpny: 'P 1 1(�'� City: - = State: CAddress:/z, Zip Code: _ v A l Fax: Phone No. 5 • f .. f iN' City: Zip Code: Phone No 4, Stater `"R9 lbJ Fax: f7a'70 i' 11 E -Mail: e -N 1551& /0 t` C'f2t!0_5 ' - Nc7' _ Fill in fee simple Title Holder on next page (if different from the Owner listed above) E -Mail 0 L T`�U 13 CA l"14 ( . co State or County License_L -/) L �j y 12, 11 value ur cunstrucraon is zDuu or more, a KtLUKUt€] r4otrce at commencement is required. If value of HAVC 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 TITLEHOLDER: 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 paying twice for improvements to your property. A Notice of Commencement must be recorded in the public records of St. Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult with len or an attorney before commencingwork or recording y9mr*Qtice of Commencement. t. Leese/Contractor as Agent for Owner � Signature of Holder STATE OF FLORIDA STATE OF FLORIDA �. COUNTY OF '��.COUNTY OF Sworn to (or affirmed) and subscribed before me of Physical Presenter or Online Notarization _ this _ day of 2020 by �a Name of person making statemen . Personally Known OR Produced Identifrcaticin Type of Identificati Produced � �J (Signature of Nota Z9'rl-eF�") ELLEN VAUGHN� Commission No. ;5iai� of 4&em�_natary PublicCommission # GG 270079'; My Commission Expires REVIEWS FRONT ZONING` —S'UTTM COUNTER REVIEW REVIEW DATE RECEIVED DATE COMPLETED Sworn to (or affirmed) and subscribed before me of Physical Presence or Online Notarization this day of (:W (k 2020 by Name of person making statement. Personally Known OR Produced Identificatidn " Type of Identification Produced ­ (Signature of Notary Public-- State of Florida ) �S�AY Commissionef o:p ��ELLEN VA Ui iorida-Na ry blit Commission # GG 270079 PLANS I VEU " GROVE REVIEW REVIEW REVIEW I REVIEW