HomeMy WebLinkAboutSUBMITTED PAPERSDate: Fee Due:' _ Recei t# � Permit #
Planning &Development Services
lqoy
Building & Code Regulations Division
2300 Virginia Ave.
Fort Pierce, FL 3.4982
(772)462-1553
IST
SPECIALTY PERMIT APPLICATION
Electrical ❑ Plumbing ❑ HVAC ❑ Fence SCANNED
BY
❑ Shed ❑ Demolition ❑ Gas ❑ Siding St. Lucie County
Seepage 2 for in
structions anodf aad�diitioonnal papap�erwork requiirredd�fopr�speeciiaaltyy pernd tt sj _)
1. Location/Site Address: —`��U
2. Parcel ID Number: 1 f 50"A _1_15�_J I `Jl J Iq I— 0 0 1
Township
Range
Map Page
Zoning
Land Use
Initials
frce Use
Of
Section
Only
3.
4. Owners Information
Name: U n u
5..Contractors Information
FL Reg/Cert #:
Address: T1 k3 y:�8�K'��'y`f 1 f t) MI (%U County Cert#: j r City: �N
! ��lil 1 State: � Business Name: Ni Y� I ' 6`e� 4r4r&
Zip: Phone: JO Phone •' Fag:_,�Ct"1"" O ! (p
6. Value of Construction: $ j S 1
OWNER'S AFFIDAVIT: I certify that all of the information contained in this application is correct and that all work will be done in
•� ompliance with all applicable laws regulatin on t n d zoning.
PRINT OWNER OR CONTRACTOR NAME 11 SIGNA URE F R OR CONTRACTORr
STATE OF FLORIDA, COUNTY OF W
ACKNOWLEDGED BEFORE ME THIS Y OF .20 114' BY
WHO IS PERSONALLY KNOWN TOME;;� OR WHO HAS PRODUCED _
AS IDENTIFICATION.
(seal)
SIGNATURE OF NOTARY TYPE OR PRINT NAME OF NOTARY
COMMISSION NUMBER
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 04/26/2010
NOTICE TO OWNER: FAILURE � _.,AECORD A NOTICE OF COMMENCEMENT M, �A;SULT, 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 $5,000.
INSTRUCTIONS
Please complete all information in the space provided. All information must be printed (use black or blue ink
only) or -typed. This, permit application is to be used•only for those activities that are not otherwise included
under a primary building permit. This application may not be used for any activity that includes structural
alteration. The information to be provided with this application includes:
1. Location/Site Address
2. Parcel ID Number
3. Description of Ptoject or Work Activity
4. Owner Information
5. Contractor Information
6. Value of Construction :`
❑ Gas
Indicate.the street address or general location of
property where the building activity is taking place.
Indicate the tax identification number of the
property where the building activity is taking place.
Fully describe the activity to take place.
Indicate the name and address of the owner of the
property`on which activity is taking place.
Indicate the State of Florida registration number (if
applicable), St. Lucie County contractor license
number and the name of the business doing the
work.
Indicate the. total value ,o f the work.to take place,, "
Total cost of construction imcludesall current retail
material and labor costs associated with the
building/construction activity. Construction value is
used to determine the permit fee. St. Lucie County
reserves the right4o' question and/or modify;the
indicated value- of construction if it is demonstrated
that the submitted figures are not consistent with
similar types of constructionj' .
Attach 2 piping 'schematics with tank size location, and BTU of each appliance
❑ Shed: Attach 2 plot plans, 2 copies of DCA letter and plans; 2. anchor specifications
❑ Fence Attach 2 plot plans showing location of fence height of fence and type of fence
❑ Siding Attach 2 copies of manufactures specifications
❑ I VAC . , . Attach 2 residential.;energy studies, 2 manual J calculations: 2 sets of duct layouts for
new system or full replacement
This application can be submitted to St. Lucie County Building and. Zoning, 2300 Virginia Avenue, Fort Pierce,
FL 34982. All permit applications must be filled out completely before submission. No applications will be,
accepted for processing after 4:30 P.M. For assistance in completing this application, please call (772)
462-1553, during regular office hours (8:00 AM - 5:00 PM), Monday through Friday.
NOTE. Emergency electric service change out inspections will not be performed after 3: 00 PM without
special arrangements and additional fee paid.
Upon issuance of this permit, required inspections can be scheduled by calling (772) 462-1261.
Sep. 5. 2014 8:52AM
No, 5388 P. 1
NETTLES ISLAND INC
t. f
Nettles Island Inc. a condominium,
9901 Svuth Ocean Drlve, Jonson'Beach, FL 34967
(772) 229-2930
FAX (772) 229-9901
September 4, 2014
Mr. Llyod Roberts
795 Nettles Blvd.
Jensen Beach, FL 34957
Re: Permit for Replacement of Electric pedestal serving Unit 795.
Dear Mr, Roberts,
Pursuant to your request, the Association has no objection to you replacing the Electric
Pedestal serving the unit located at Lot 795, provided it meets current building codes and
is permitted through St. Lucie County,
If there is anything else we can do for you, please do not hesitate to ask.
Sincerely,
Tom Bellavance
Architectural Committee
Cc: Laura Jones, LCAM, file