HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 15t`a_d a a`l
Date: 12/7/2015 Permit Number: -
-.,.� Jo RFCEJD DEC 14.2015
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 El
PROPOSED IMPROVEMENT LOCATION:
Address: 515 Nettles Blvd
Legal Description: Nettles Island Inc, a condo-section II parcel 515 andpro-rata share
in common elements (or 1859-1754:3125-831
Property Tax ID#: 4502-501-0701-000-5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION:OF.WORK:.
Temporary Electrical Pole/to be removed before final inspection
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CONSTRUCTION INFORMATI.O,N
Additional work to bnrtormed under this permit—check a ,hatapply:HVAC Gas Tank E]Gas Piping Shutters ❑.Windows/Doors
R1Electric F] Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction:$ �a�. Utilities:Sewer Septic Building Height:
OtiNER" LESSEE: CONTRACTOR:
Name 1 Name: Frank Fitzpatrick
Address: g Company: Alfred Bressaw Electrical Contractors Inc
City: State., lam Address: 654 NE Dixie Hwy
Zip CodeFax: City: Jensen Beach State:FL
Phone No. Zip Code: 34957
Fax 772-334-8776
E-Mail: Phone No. 7727334-4014
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 w rk or recording our Notice of Commencement. 1
I —
I ) s
_Signature of d, ner/Lessee/Agent Signat re of o tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF Martin COUNTY OF Martin
The fAro
ing instrument was a knowledged before me The forgoing instrument was acknowledged before me
this I day of 20 -by this ' day of °e`Rrnbe` 206 by
Frank Fitzpatrick aAgent Frank Fitzpatrick as contractor
(Name of person acknowledging) (Name of person acknowledging)
Ctn P
(Signature of Notary Public-State of FO' ) (Signature of Notary Public-State o lorida )
Personally Known xx Personally Known xx P I fi ation
Type of Identification Produfil Nota Public Stata of Florida Type of Identification Pr u
Dianna Kni ht r° on a
9 Dianna KnighiCommission No. Q nn Qc1(�t�tission�F olzs7s Commission No. My com 44YF 012576
N° En 'G512112017 or F• Expires 0.5/21/2017
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS