HomeMy WebLinkAboutPermit Application 820 NettlesAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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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
PROPOSED IMPROVEMENT LOCATION:
Residential X
Address: 820 Nettles Blvd., Jensen Beach, FL 34957 - Nettles Island Inc, a condo -section II parcel 820 and pro -rats share in common elements (OR 4088-1678)
Property Tax ID #: 4502-501-1006-000-0
Site Plan Name: Schut
Project Name: Schut
DETAILED DESCRIPTION OF WORK:
Remove existing Pedestal and replace with a Florida Approved 125 Amp. Pedestal.
New Electrical Meter
Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No._
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Pond
Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2,200.00
OWNER/LESSEE:
Name Ronald Schut
Address:3803 Kingsway Ct SE
City: Grand Rapids, MI State:
Zip Code: 49508 Fax: n/a
Phone No.616-452-2288
E-Mail: ronschut@comcast.net
Sq. Ft. of Fist Floor:
Utilities: —Sewer _Septic Building Height:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Name: James Brown
Company: Jim Brown Electric, LLC
Address:3352 NE Skyline Drive
City: Jensen Beach State: FL
Zip Code: 34957 Fax: ofc# 772-209-0280
Phone No well# 860-803-5333
E-Mailjdb5333@gmail.com
State or County LicenseSLC 30871
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 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/ CONTRACTOR AFFIDVIT: Application is hereby made to obtair 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 commencing work or recorcing your Notice of Commencement,
re of Owner/ Lessee/CQQIractar as Agent for
STATE OF FLORIDA
COUNTY OF r,-, -
Sworn to (or affirmed) and subscribed before me of
tsical Presence or Online Notarization
this 22^°day of A ip I 202' by
u re
nse Holder
STATE OF FLORIDA
COUNTY OF
Sworn to (ar affirmed) and subscribed before me of
sisal Presence or Online Notarization
trf5r_j `'day of 4z:r-, r ,1 202 f by
Name of person making statement. I Name of person making statement.
Personally Known FOR Pr ced �n
Type of Identification
Produced r 1 vr- c.k rw L Cue s�
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(Signature of Notary Public- S
KARENCODERRE
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EXPIRES: April 23, 2Q
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REVIEWS FRONT
ZONING SUPERVISOR
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REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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Personally Known OR Prod ced ldentification
Type of Identification
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re of Notary Public- State of Florida )
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MY COMMISSION # GG 981001
PLANS VEGETAT
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