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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED } (` 1 Date: 15c 8/10/15 Permit Number: `©Igaf ' 4-::5D -n. _ RECEIVEC Building Permit Application AW1 1 2015 Planning and Development Services PERMITTING Building and Code Regulation Division St. Lucie Countv. FI- 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xmo=xxxx PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED_IMPR0 EMENT LOCATION. Address: 151 NETTLES BLVD Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 151 AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 206-2747:911-2918:1913-2574) Property Tax ID#: 4502-501-0337-000-2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK remove existing pedestal. install 150 amp meter combo pack on 2" strut stand CONSTRUCTION INFORMATION itiona wor to e e orme d under this permit—c ec a appy: HVAC II Gas Tank ❑Gas Piping _Shutters F-]Windows/Doors ZElectric 1:1 Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: SFt.of First Floor: Cost of Construction:$ 1,500.00 Utilities:]Sewer 0 Septic Building Height: OWNER/LESSEE CONTRACTOR' Name Dorothy C Poirot(TR)Suzanne M Jeacoma(TR) Name: john law Address:2 Surf Ave Company: laws electrical service inc City: Islip, State:ny' Address: 5158 nw primm st Zip Code: 11751 Fax: City: pt st lucie State:fl Phone No.1 631 277 7822 Zip Code: 34983 Fax: E-Mail: Phone No. 7'7� :�7 u E-(,7r 7 Fill in fee simple Title Holder on next page(if different E-Mail: johniaw5158@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. Y R SUFPPLEMENTA(,CONSTRUCTION LIEN rLAW INFORMATION: 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�thepermit 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 l will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St:Lucie County Amendments.- The mendments: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. 05 s _Signatur of Owner/Lessee/Agent Signature of C tractor/License Holder STATE OF FLORIDASTATE OF FLORIDA COUNTY OF ,e, COUNTY OF The forgoing iris ment was acknowledged-before me The forgoing instrument was acknowledgedj)efore me this�_day of 20 by this i� -day o 20 by (N of person acknowledging) (Na of person acknowledging) Signat re of Notary yPPublic-Stat of Florida) •gnatu a of Notary Public- ate Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Prpduced i a�1O1���. AS ANNA INGRAM Commission No. :��►A;, Commission No. " '''a UAMNNA INGRAM ¢i. Nota Itc-State of Florida _• 4 Notary Public-State of Florida . My Comm.Expires Dec 20,2018 Comm.Expi- a' Commission '/ FF 1 7724 Bonded through Natio6akNotary Assn Revised 07/15/20 �' cj '� .� n- ' Bonded n! :l !,,nar`�Nolary As r REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS