HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/10/15 Permit Number: 15 1-425
RECEIVE®
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Building Permit Application AUG` i 1 2015
Planning and Development Services
PERMIT7lN'G
Building and Code Regulation Division St. Lucie
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential xxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION
Address:.932 NETTLES BLVD
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 932 ANDPRO-RATA SHARE IN COMMON ELEMENTS(OR 1959-2749)
Property Tax ID#: 4502-501-1118-000-8 Lot No.
Site Plan Name: Block'No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION-OF WORK:,
remove existing pedestal in 150 amp meter combo pack on 2" strut stand
CONSTRUCTIO.N',INFORMATION.
Additional work to be pertormed under this permit–checlln appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
ZElectric ❑ Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,600.00 Utilities: Sewer❑Septic Building Height:
OW.N ER/LESSEE::". CONTRACTOR:
Name Gerard Blais Judith Blais Name: John law
Address:932 NETTLES BLVD Company: laws electrical service inc
City: Jensen beach State:fl Address: 5158 nw primm st
Zip Code: 34957 Fax: City: pt st lucie fl State:fl
Phone No.229 2613 Zip Code: 34983 Fax:
E-Mail: Phone No. 370 4357
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.
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SUPPLEMENTAL CONSTRUCTION,LIEN LA17U41NFORMATIOSN r
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DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
- - - - -- -
---State:---- - - - --- - -- -- -----
zlty -" tty: --State:-
.Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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 l 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.-Ifyou intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
s
- -Signator o Owner/Lessee/Agent- -- - - - -Signature of C "tractor/License..Holder
STATE OF FLORIDA STATE OF FLORIDA-
COUNTY OFCOUNTY OF _
The forgoingifis ment was-acknowledge�efore me The forgoing ins rument was acknowledgedbefore me
this k day of 20�by this -day o 20 by
(N of person acknowledging) (Na of person acknowledging)
ignat re of Notary Public-Stat6 of Florida) gnat a of Notary Public- ate aFlorida)
Personally Known OR Produced Identification- Personally Known OR Produced Identification
Type of Identification Produced - Type of Identification Pr. uced
- -----. - —�I ANNA'INGRAM
Commission No. ��"'►•• HNA1tNGRAM Commission No. 4�;; Notfrllc-State of Florida
Notary Public-State of Florida My Comm:-Explres Dec 20,2018
Ulu 10--mm.Expimb OEM 20,Pil iN RFF 17
'-,'9F aP�`•-' 't .R OF Bonded through.Nalion��Notary Assn.,
otF� Commission # FF 17720-
Revised 07/15/20 Tr.n.
Bonded th��.;:�h'�,,ha��,.NotarvAs:,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE"
COMPLETE
INITIALS