HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11/19/15 Permit Number:
's.. . - , — _" - RECEIVED
Building Permit Application NOV 10 1015
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 yes
PERMIT APPLICATION FOR: Electrical Li
PROPOSED IMPROVEMENT LOCATION:
Address: 1235 NETTLES BLVD.
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION II PARCEL 1235AND PRO-RATA SHARE IN COMMON ELEMENTS(OR 861-399:1301-1696:3777-1964
Property Tax ID#: 4502-501-1422-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
REPLACE EXISTING CHALLENGER BURNED UP 200 A METER-MAIN THAT WAS SHUT
DOWN BY FPL CO.
OWNER WITHOUT POWER. REPLACE WITH NEW SIEMENS 200 A METER MAIN.
CONSTRUCTION INFORMATION.
Additional workto e performed under this permit—check a appy:
HVAC 13 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Elenerator 0 Roof
Total Sq.Ft of Construction: SFt.of First Floor'
Cost of Construction:$ 1500.00 Utilities:l Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameJoseph A Murphy III Name: JAMES L REISNER
Address:1235 Nettles Blvd. Company: JIM REISNER ELECTRIC, LLC
City: Jensen Beach State:FL Address: 4886 SW HONEY TERRACE
Zip Code: 34957 Fax: City: PALM CITY State:FL
Phone,No.772-214-4392 Zip Code: 34990 Fax:
E-Mail:josephamurphy@bellsouth.net Phone No. 772-260-0732
Fill in fee simple Title Holder on next page(if different E-Mail:jamesreisner@bellsouth.net
from the Owner listed above) State or County License: 20125/ EC-0002442
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 th st inspection. If you intend to obtain financing, consu lender or an attorney before-
com"cing work or recordigglUr Notice of Commenceme
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;S,i gn ure of Owner/L ee/Agent Si at of Contractor icense HolderTE OFFLORIDA ST E OF FLORIDA UNTY OF C LINTY OF ro: hog-
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Commission No. (Seal) Commission No. (Seal)
Revised 07/15/2014
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