HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABTE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division
2300 Virginio Avenue, Fort Pierce FL 34982
Phone: (7721 462-1553 Fax: (7721 462-1578 Commercial Residential x
Legal Description: Nettles lsland Inc., A condo - Section ll Parcel '1'194
Property Tax I D g' 4502-501-1 381 -OO-2 Lot No
Site plan Name: Castillo Block No.
Project Name: 1194 Nettles Blvd
Setbacks Front Back:Right Side: Left Side:
poN
iiiiiili
ronal worK to apply:Iz
HVAC
Electric I-Gas Tank
Plumbing
trI Gas Piping
Sprin klers tr
Sh utte rs
Generator
Tu Windows/Doors
Roof
Total Sq. Ft of Construction:Sq. Ft. of First Floor:
Utilities:l-lr.*", Et.*''. "*'"r *-^.
-
Cost of Construction. 5 1500.00
Name: Kent Blosser
Company: Blosser Electric
Address: PO Box 7305
61ry. Port St Lucie State: Fl
Zip Code: 34985 772-337-2699
phone 11o. 7723370055
E-Mail: nrblosser@gmail.com
State or County License: EC13001570
PERMIT APPLICATION FOR:
Address: 1194 Nettles Blvd Jensen BEach, Fl 34957
Install new pedestal and grounding.
N6ms Elsa Castillo
Address: 19549 SW 123rd Ct
citrr. Miami State: Fl
Zio Code: 33177
phone Xs.305-979-3841
g-1y1 3 1 ;. elsa5335@att. net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
lf value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
commencinS work or recordi r Notice of Commencement.
ure
I certify that no work or installation has commenced prior to the issuance of a permit.
St' Lucie Countv makes no repre.lentation that is.granting a permit will a,uthorize the permit holder to build the subiect structurewhich is in conflict with anv a'pplicable HoriiJowfiers nsiociaiion iuids;6ii;\i,;;#;d;b"[;;its tnat may restrict or prohibit suchstructure. Please consult with'four Home owners Assoiiatioir';a ie;i6f ioi;; J;ed'fo;"an]i'iestrictions rarhich may appty.
In consid.eration of the granting of this requested.permit, ldo hereby agree that lwill, in all respects, perform the workin accordance with the approved plans, the Florida Building Codes and 5t. Lucie couniy Amendments.
The following building permit applications are exe.mpt from undergoing a full concurrency review: room additions,accessory structures, swimming pools, fences, walls, signs, screen rooms ano accessory uses to another non-residential use
WARNING To oWNER: Your failure to Record a Notice of Commencement may result in your paying twice forimprovements to vour property. A Notice of commencement must ue iead4;il a;d b;;iiJiiiiir," iouiitubefore the first inspection..lf. yciu intendJo obtain tinancinE, ionliit wiitri;A;r or an attorney before
STATE OF FLORIDA
courvrV or5-rl+4<
The forgoing instrument was acknowledged before me
this&l dayof Nf ar c.C- , zo l\- oy
K.".,-t* btr:5e.tL--
(Name of person acknowledging )
Revised 07/1512014
Personally Known OR produced
Type of ldentification Produced F [.yu.-o*
Commission No.
(Signature of Notary Public- State of Florida )
SEA TURTLE
RE\/IEW
MORTGAGE COMPANy: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
DESIGNER/ENG|NEER: _ NoTAppilAEE
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
_ Signature of Owner/ Lessee/Agent
STATE OF FTORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of
(Name of person acknowledging )
(Signature of Notary Public- State of Florida )
Personally Known OR produced ldentification
Type of ldentification Produced
Commission No.