HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED L5-DG- (3S
Date: 6/26/15 Permit Number:
•
Building Permit Application
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 xxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEM N'tL'OCATION
Address: 333 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 333N ANDPRO-RATA SHARE IN COMMON ELEMENTS(OR 3207-1978)
Property Tax ID#: 4502-501-0519-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
TAILED`DESCRIPTION,OFWORK
remove existing pedestal install 150 amp meter combo pack on strut stand
CONSTRUCTION INFORMATION
Additionalworktobenertormedunder this permit—check a appy:
HVAC I_I Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
ZElectric 0 Plumbing Sprinklers ElGenerator R Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,600.00 Utilities:n Sewer E]Septic Building Height:
OWNERAESSEE CONTRACTOR
Name John Destefano Name: john law
Address:150 Shellbank PI Company: law's electrical service inc
City: Rockville Centre State:NY Address: 5158 nw primm st
Zip Code: 11570 Fax: City: pt st lucie State:fl
Phone No. 917 749 2833 Zip Code: 34983 Fax:
E-Mail: Phone No. 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail: johnaw5158@aol.com
from the Owner listed above) State or County License: 25284
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SULAW ORMAT
PPLEMENTAL CONSTRUCTION LIEN INF• ,
ION.
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:
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 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.
s
_Signatur of Owner Lessee/Agent Signature of Co actor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTYOF COUNTY OF
The forgoing instrui e w s acknowledged re me The Mirgoinig inst�� nt was acknowledg d beforeme
this, day of 20 by thisQy ofy�l�(�Q , 20 by
(Name of person acknowledging) (Name of person acknowledging)
"',le L�se_ 0) U I a, :4"1,, fv� �Lj
(Signature o blic-State of Florida) (Signature of Notary blic-State of Florida)
sonally Known Person Ily� ► ,� 1 entification
n t icat' n•(, 'dtir6) d ANGELA M HUFF Type I> :;j1md LA M
Notary Public tate o or a , e otary Public-•
'c Com State of Florid
Commission No. ''f : Commlj�$l f FF 234730 Com cam: mission#FF 2347Jea
Pe.• y Comm.Expires May 27,2019 '•°;;;°�� xp res May 27,2019
, Bonded through National Notar
'•° Bonded through National Notary Assn
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Revised 07/15/2014
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DATE
COMPLETE
INITIALS