HomeMy WebLinkAboutSmith, Ken - 31 NettlesAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9March2021 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Electrical - New Meter
PROPOSED IMPROVEMENT LOCATION:
Address: 31 Nettles Blvd, Jensen Beach, FL 34957
Property Tax ID #: 4502-501-0217-000-5
Residential x
Lot No.
Site Plan Name: Block No.
Project Name: Smith - 31 Nettles
DETAILED DESCRIPTION OF WORK:
Remove existing RV panel and meter.
Build new stand alone 150 amp service. Run conduit to dock, install disconnect and wire elevator lift.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors _ Pond
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1600.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth J Smith
Name: Donald Green
Address: 961 Lynndale DR
Company: Don Green Electric
City: Rochester Hills State: _
Zip Code: 48309 Fax:
Phone No. (586) 298-0327
Address: 1305 W 1 st St
City: Fort Pierce State: FL
Zip Code: 34982 Fax:
Phone No (772) 418-5739
E-Mail: kjsgolf@comcast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail permits @dongreenelectric.corn
State or County License EC13007447
If value of construction is 2500 or more, a RECORDED Notice of 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
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: i Not Applicable
Name:
Address:
City:
Zip: Phone:_
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
Zip: T
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 lender or an attorney before commencinia work or recordinf-your Notice of Commencement.
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Sign a re of Owner/ Lessee/Contractor as Agent for Owner
Signatur4 of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF `�, ;' V44 C1I' J
COUNTY OF-4;, �, ; ( .I .,
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this _i day of iti 1 Gi fit. t• . 2020 by
this i day of I IOLi' C a, 2020 by
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public
ture of NotaryPublic- Sta
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r AURIE PHILLI
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 5/ b/ 20
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