HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/11/2015 Permit Number:
RECENT-13 AUG"!'
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 XX
PERMIT APPLICATION FOR: Electrical
PROP05ED IMPROVEMENT LOCATION
Address: 549 Nettles Blvd
Legal Description: Nettles Island Inc A Condo section 11 parcal 549 andpro rata share in
common elements (or 1934-239)
Property Tax ID#: 4502-501-0735-000-2 Lot No.
Site Plan Name: Block No.
Project Name: Braunbach
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replace exisiting meter pedestal with same
CONSTRUCTION INFO_ RMATION
itiona lwor to b e e ormeun d er this permit—c h ec a apply:
HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑ Plumbing []Sprinklers ❑Generator ORoof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1400.00 Utilities: Sewer E Septic Building Height:
011UNER/L'ESSEE `' CONTRACTOR
Name Martha A Braunbach Name: Frank Fitzpatrick
Address:6049 E Canal Rd Company: Alfred Bressaw Electrical Contractors Inc
City: Lockport State:NY Address: 654 NE Dixie Hwy
Zip Code: 14094 Fax: City: Jensen Beach State:FL
Phone No. Zip Code: 34957 Fax: 772-334-8776
E-Mail: Phone No. 772-334-4014
Fill in fee simple Title Holder on next page(if different E-Mail abressaw@hotmail.com
from the Owner listed above) State or County License: EC0000915
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN,LAW IN.FORMATIOIV
DESIGNER/ENGINEER: Not A licable MORTGAGE COMPANY: _Not Applicable
Name: RECE1':TD AUG 1 �01�5 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:
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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
_Signature of O er/Lessee Agent Sig at r of ton tactor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
The forgoing instrufflient was a knowledgedb0ore me The forgoing instrument was acknowledged before me
this A day of 20 LJ by this day of Au"' 20.V _ by
Frank Fitzpatrick aAgent Frank Fitzpatrick
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub li - tate of Florida) (Signature of Notary Pu i -State of Florida)
Personally Known OR Pr uced Identification �� Personally Known OR Produced Identification
Type of Identification Produced K, i)2 w, Type of Identification Produced_ -bJZ W L
Commission No. 'rI4&7Jr'gJ -%0V11" (Seal) GinaC.JOrdan Commission Noj�PIkla_S Oft, (Seal)
of y Gina C.Jordan
State of Florida State of Florida
My Commission Expires 08/22/2018
Revised 07/15/2014 Commission No.FF 147585 Commission No.FF 147585
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DATE
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