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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I Date: 12/1/2015 Permit Number: • WON STC 0 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 PROPOSED IMPROVEMENT LOCATION: Address: 665 Nettles Blvd Legal Description: Nettles Island Inc, a condo-section II Parcel 665 and pro rata share in common elements (or 1675-485) Property Tax ID#: 4502-501-0851-000-1 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: , Replace meter pedestal with same new Cl )C-C,, CONSTRUCTION INFORMATION: Additional work to be nerformed under tis permit—check all appy: HVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors Electric ❑ Plumbing Sprinklers ❑Generator Roof Total Sq. Ft of Construction: S Ft.of First Floor: Cost of Construction:$ 1000.00 Utilities:cnSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Gary&Karen Stambaugh Name: Frank Fitzpatrick Address:665 Nettles Blvd Company: Alfred Bressaw Electrical Contractors Inc City: Jensen Beach State:FL Address: 654 NE Dixie Hwy Zip Code: 34957 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 LIES! LAW .NF.ORMATION: 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. _i s _Signature f Owner/Lessee%Agent Signature of gractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF Martin COUNTY OF Martin The forgoing instru t wa acknowledge efore me The f rgoing instrgm nt wa acknowledge q,before me this day of 20 y this.V day of 20 by o a kn,,u h Frank Fitzpatrick (Name of person acknowledging) (Name of person acknowledging) ':�7j4� C�LjYW�-D� NV (Signature of Notary Public-State of Flo ' a) (Signature of Notary a e o o I a ,tp0.61 P(,0 Notary PubliL to of Florida ' 4^ DI nna Knigght Personally Known xx i c t n Personally Known Wrq�Z RMpaetd,cd®ntiTi@Wi� Type of Identification Notary Public State of Fon Type of IdentificatExpires 65121/2017 ian _T -W W- __ My Commission FF 012576 Commission No. (Seal) Commission No. ExpiresQSgtpp17 Revised 07/15/2014 REVIEWS .FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS