HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 91815 Permit Number:
RECEI ED SEP 0 81015
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 xxxxxxxxxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCAThON
Address: 9801 S Ocean DR
Legal Description: NETTLES ISLAND INCA CONDOSECRON II TRATPARTOFTRACTT-1 LYG E OF PARCELS 215 THRU 27SANO LYG S OF PARCELM THRUM AND LYGW OF PARCELSMI THRU 3 (3.84AC-181.2]0 SFJ(AS PER PLAT DEDICATION
Property Tax ID#: 4502-501-1615-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
remove meter& panel install new meter/ 100 amp panel on 2" alum strut stand at horse pit behind
lot 1039 nettles blvd
CONSTRUCTION I FORMATION
Additional work to be performed under this— permit–check
a. _aPPY:
❑HVAC Gas Tank E]Gas Piping Shutters ❑Windows/Doors
Electric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1,800.00 UtilitiesSewer ElSeptic Building Height:
OV1/NER%LESSEE _ CONTRACTOR
Name Outdoor Resorts at Nettles Island, Inc Name: John Law
Address:9801 S Ocean DR Company: Law's Electrical Service Inc
City: Jensen Beach State:FI Address: 5158 NW Prim St
Zip Code: 34957 Fax: City: Pt ST Lucie State:FI
Phone No.229 2930 Zip Code: 34983 Fax:
E-Mail: Phone No. 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail: johnlaw5158@aol.com
from the Owner listed above) State or County License: 29432
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU,PPLEMENTAL".CONSTR'UCTION LIEN„LAW 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 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
_Signat of Owner/Lessee/Agent Signature of tractor/License Holder
STAT OF FLORIDA STATE OF FLORIDA
COUNTY OF Sk , COUNTY OF S-t. L-
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of e�P+ 20 by this day of SA/�'t' ,20 6 by
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Pub ic-State of Florida) (Signature of Notary Pu lic-Sta e •fNENo1 F`oclda
S a p State p�6
1v�N Q��au he- c 16,2
-3'1611,R 6►diNc��
Personally Known OR Pr 7di' � i�et�6 Personally Kno N � -
Type of Identification Prod c` ec, ' 1 Type of Identific 'off* �d Mv ;on#E 4�3ti,ty a55°
�ac`l m EXQ�� EE No�at I PSS S d h;oo9h Apo
Commission N '' � Som .�S¢ 1oaa1 Commission No. ` �,,_ gond (�
a�° �„��•
Revised 07/15/ 4'""
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS