HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �J
Date: 1/15/2016 Permit Number:
RECEIVED JAN 2 8 2016
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: 608 Nettles Blvd
Legal Description: Nettles Island Inc a condo section II parcel 608 andpro rata
share in common elements (or 3277-145)
Property Tax ID#: 4502-501-0794-000-3 Lot No.
Site Plan Name: Block No.
Project Name: Larry and Rachel Stewart
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter pedestal with same
CONSTRUCTION INFORMATION:
Additional work to Ppprformed under t ispermit=c ec arhajtapply:
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: $ 1000.00 UtilitiestSewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
NameLarry& Rachel Stewart Name: Frank Fitzpatrick
Address:2151 W Fair Ave#86 Company: Alfred Bressaw Electrical Cont Inc
City: Lancaster State:OH Address: 654 NE Dixie Hwy
Zip Code: 43130 Fax: City: Jensen Beach State:FL
Phone No. Zip Code: 34957 Fax: 7723348776
E-Mail: Phone No. 7723344014
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
commendork or recording our Notice of Commencem
I s
_Si nature of i wner/Lessee/Agent Sign tur oft trac r/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF M(�t�'�I tnl
The forgoing instrument was acknowledged.before me The forgoing instrument was acknowledged before me
this day of _,Jamn 20 [aby this r-116 day of 20 by
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(Name of person acknowledging} ( (Name of person ackno ledging(yQ A/ 4N=A1\-e-,,__
)
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(Signature of Notary Public-State o ure of Notary Public- tate of FI
Apr au Notary Public State of lorida
Personally Known ° � OR Prod �� if� ti@�1Knight o1 SPiberso I r, PGBI �raftl4fLFqtiJen ' ication
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Type of Identification Produced `� 017 Type I rijipnCRml�ta�@Iht
of
Expires 5v my '/21/2017
Commission No. (Seal) Commiss' n fJ )
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS