HomeMy WebLinkAboutBuilding Permit Application '1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 9/10/2015 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 XX
PERMIT APPLICATION FOR: Electrical
E
PROPOSED IMPROVEMENT LOCATION.
Address: 883 Nettles Blvd
Legal Description: Nettles Island Inc, A condo-section II parcel 883
andro-rata share in common elements (OR 35272-72)
Property Tax ID#: 4502-501-1069-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Tortora
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION,OF WORK:.,
Remove existing meter pedestal and replace with new
CONSTRUCTION,INFORMATION
Additional work toe ertormed under this permit—check all appy:
HVAC Gas Tank E]Gas Piping Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,500.00 Utilities:Sewer ElSeptic Building Height:
OWNER/LESSEE: ; "CONTRACTOR:
Name Daniel Tortura and Lenora Turrisi Name: Frank Fitzpatrick
Address:711 SW Pine Tree Lane Company: Alfred Bressaw Electrical Contractors Inc
City: Palm City State:FL Address: 654 NE Dixie Hwy
Zip Code: 34990 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 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.
G'' s
_Signature of O ner/Lessee/Agent v Sig tur of Co ractorA cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OFMartin
The forgoing instrument v4as acknowledged before me The forgoing instrument was acknowledged before me
this day of SiMf 20 tCby this /0 day of 20 A; by
Frank Fitzpatrick as-6nt Frank Fitzpatrick as contractor
(Name of person acknowledging) (Name of person acknowledging)
�)_ ' I Q AA_AL-!!'0k C��k44 ti
(Signature of Notary Public-State of F (Signature of Notary Public-State of Nor) )
otary public State of Florida
Personally Known o�t; Itlta�ltrt��$fi' Pe 'o
n Id tification
Type of Identification d a Commission Type o a ti ° 1C t t��fSrfrF�
_ SF Expires s b
or c� My Commission FF 012576
Commission No. Seal) Commi iM . Expires 05121/2017 al)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS