HomeMy WebLinkAboutBuilding Permit Application Jun 10 2015 11:38AM HP Fax page 2
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6.10.2015 Permit Number: ou
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RECEIVED
Building Permit Application JUN 10 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
R a 3. i..At+;+. ,i 2s. ,B' T 'i F P .J� .• mil i F+ ` ,
Address: 117 Nettles Blvd, Jensen Beach, FL 34957
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 117
ANDPRO-RATA SHARE IN COMMON ELEMENTS (OR 3296-971)
Property Tax ID#: 45€82-501-1304-000-9 Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side; Left Side:
s!1 _" 4rA+ c r
Replace Like 2 ton split system with 5 kw heat for like 2 ton 14 Seer Split System with 5 kw heat
ON
Addii ions•work to e e Orme uncler this permit—check all t=appy:
HVAC Cas Tank 013as Piping _Shutters EIV inflows/Doors
Electric ®Plumbing Sprinklers 1:1 Generator Roof
Total Sq.Ft of Construction: 729 S .Ft, of.First Floor:
Cost of Construction:$ 2499.00 Utilities:11Sewer Septic Building Height:
s�{ :Fa. + r. Ni¢n L ^ �3�cr• �+ �, 1 }F, if9 k ..
Name Robert Kling Name: Robert Hennis
Address,316 white Oak Lane Company: Air Control Air Conditioning&Refrigeration, LLC
City: Tuckerton State: NJ Address: 5415 Silver Oak Drive
Zip Code: 08087 Fax: City. Fort Pierce State.FL
Phone No.609-339-9623 Zip Code: 34982 Fax: 772-46M613
E-Mail: Phone No. 772-460-2565
Fill In fee simple Title Holder on next page( If different E-Mail: aircontrolac@yahoo.com
from the Owner listed above) State or County License: CAC 1815015
If value of c®ristruction is$2500 or more,a RECORDED Notice of Commencement is rewired.
Jun 10 2015 11:39AM HP Fax page 3
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DESIGNER/ENGINEER: X Not Applicable MORTGAGE COMPANY: X Not Applicable
Name; Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: X Not Applicable BONDING COMPANY: x Not Applicable
Name: Name.
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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 Nome Owners Association rules,bylaws or and covenants that may,restrict or prohibit such
structure.Please consult with your Dome 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 your paying twice for
improvements to your property.A Notice of Commencement must be recorded 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 recording our Notice of Commencement.
Signature of Owner/Lessee/Agent Signature of Contractor/License Molder
STATE OF(FLORIDA STATE OF FLORIDA
COUNTY OF S'T. LvcuP... COUNTYCIF T.Luce
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this eon day of 0� 0_ . 20 % by this 10% day of'__M;yr` .20 U5 by
![ � ��[���1nCs- 3x1.515 ' ' l�p lfl lr u
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida}
Personally Known �OR Produced Identification Personally Known a OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.EC.-2egsy, (Seal) Commission No. U-Zt*51to (Seal)
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b EXPIRES:Jun®14,1016
Revised 07/15/2014 �, .� & EXPIRES:June id,2416
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
C®1VlPLETE
INITIALS