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HomeMy WebLinkAboutSUBMITTED PAPERS0:510 PLA G-A ND DEVELOPMENT SERVICES'OLPART MENT Building and Code Regulations Division 2300 Virginia Ave. Fort Pierce, FL 34982 S C ��ED (772)462-1553 SPECIALTY PERMIT st �ucio Count APPLICATION y ❑ Electrical ❑ Plumbing ❑ RVAC .❑ Fence ❑ Commercial Irrigation Shed •Demolition ❑ Gas ❑ Siding Seepage 2 for instructions and additional paperwork required for specialty permits j.. � f 1. Location/Site Address: /���� Ale 1110j c,Tt3n5cll n /Cf - 3 f f j 7 2. Parcel ED Number: i-/5 ©)—`b11—Q%1 ._ 000 3. Complete Description of Proposed Work: i 4. Owners Information 5. Contractors Information p Name: Ieon elh- I?rr-WIn FL Reg/Cert #: 7 ;1— .5 Address. ,(.. �/l/��, i ,�DYJji, County Cert#: City:// i �7 - > T 1� /. _ ��O�C State: ,l-y}. Business Name: �%l'''1 _ f�'�i � ,��2 Cra ,��.�,y,��ti ;,4(. Zip: 11"16V "I L%Y� 'Phone: x5," V,2 " ! Phone: .77/ 2 )WO 3;7/ Fax: 77,Z.2-122Igl 6. Value of Construction:$ 1 JUD1? Email: e GGdrl,$;?� /. ���� i✓c/ '�^ GG'l OWNER'S AFFIDAVIT: I certify that all of the information contained in ttiis application is correct and that all work will be don compliance with all applicable laws regulating construction and pn ✓/Gf r7 f�l i 7r� fir' Z - c PRINT OWNER OR CONTRACTOR NAME SIGNATLM OF OWNER O' TRACTOR STATE OF FLORIDA, COUNTY OF ACKNOWLEDGED BEFORE ME THIS _ DAY OF .20 ) T , 1� j, BY WHO IS PERSONALLY KNOWN TO. ME (_) OR WHO HAS PRODUCED ENTIFICATION. , ry io}ipv P LASHAHWA INQRAM MY' ISSDN # EE 050555 (;�P�OFNOTARY TYPE OR PRINT NAME OF N ARY a- EXPIRES: December 20, 2014 p'' Bonded Thru Notary Public Underwriter® COMMISSION NUMBER-, oSc�SS NOTICE TO OWNER: FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT. **EXEMPT: A/C -HEAT REPLACEMENT WITH CONTRACT UNDER $7500.00 Revised 01/03/2014 Nettles Island Inc.,, o condomi 9001 South Ocean Drive, Jensen Beach, FL 34957 (772) -229=2930 FAX (772) 229-9001 August 20, 2014 Kenneth & Mary Brown 405 E. Washington St. Attic, IN 47918 RE: 1032 Nettles Blvd The review of your Adjacent Property Protection Plan for lot #1032 is complete. We approve of the removal of the unit from that lot. Please comply with Nettles Island Procedures Governing Contractor and Building Activity on Nettles Island, and provide us with a copy of the permit. Respectfully Tom Bellavance Architectural Committee CC: Laura Jones, LOAM, File e L41J. Applov FF/bh �,�vsGtli' l/OG� Planning & Development Services Building & Code Regulation Division 2300 Virginia Avenue Fort Pierce, FL. 34982 Phone:(772)462.2172 Fax:(772)462-6443 August 26, 2014 ASBESTOS NOTICE Asbestos Notice to Contractor ADAM SMITH BOBCAT SERVICE INC ADAM SMITH 661 NE SPENCER ST JENSEN BEACH, FL 34957 RE: Building Permit Number 1408-0347 It is your responsibility to comply with the provisions of Section 469.003, Florida Statutes and to notify the Department of Environmental Protection of any intentions to remove asbestos when applicable in accordance with state and federal law. Signature Date 8/26/2014 8:46:45 AM