HomeMy WebLinkAboutBuilding Permit Application Jun 03 2016 3:26PM HP Fax page
ALL APPLICABLE INFO MUST,RE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date* 6/312016 Permit Number: ItZQt— 60
RECEIV7-D Ml 0 6 2016
Building Permit Application
Planning and Development Services
Building and.Code Reguldtion Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax.,(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox,'click arrow at the end of line
Address: 300 Nettles Island Blvd,Jensen Beach,FL 34957
Legal Description: NETTLES ISLAND INC,A CONDO-SECTION 11 PARCEL 30ON ANDPRO-RATA SHARE INC M' MON
ELEMENTS(OR 3257-272;3680-2864)
Property Tax ID#: 4502-501-0486-000-1 L No.
Site Plan Name: NETTLES ISLAND B1 ck'No.
Project Name:
Setbacks Front Back: ...... Right Side: Left Side:
REPLACE LIKE FOR LIKE AIR CONDITIONING 2.5 TON PACKAGE UNIT WITH BK HEAT
WITH BRAND NEW PAYNE 2.5 TON 14 SEER PACKAGE UNIT WITH 8KW HEAT
Iona wo to e orme un er is perm –,c eck all apply,
HVAC Gas Tank [:]Gas Piping —Shutters ❑Wind'ows/D rs
Electric Plumbing nSprinklers 1:1 Generator ,-Roof
Total Sq.Ft of Construction: Scl.Ft.of First Floor: 696
Cost of Construction:$ 239940 Utilities:R Sewer[]Septic Building Heig t:.
Name Mildred Young Name: Robert Hennis
Address:VZ Nettles BlvdCor Control AC&Refrigeration, LC
City. Jensen Beach Sta t e, mpany: Air
5415 Silver Oak Drive
Zip Code: 34957 Fax., City: Fort Pierce tate:FL
Phone No 954-567-7160 Zip Code: 34982 Fax: 772-4t2 613
E-Mail.' Phone No. 772-460-2665
Fill in fee simple Title Holder on next page'(If different E-Mail:.AiRCONTROLAC@YAHOO.COM
from the Owner listed above) State or County License! CAC16160115
If value of construction Is$2500 or more,a RECORDED Notice of Commencement Is required.
Jun 03 2016 3:26PM HP Fax Page 2
DESIGNER/ ENGINEER: X Not Applicable MORTGAGE COMPANY: XN t Applicable
Name: Name:
Address: Address:
City: State: City: I State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Nor 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.
5t.Lucle Coun mak no representation that is granting a permit it authorize the permit holderC to build the su ject structure
W is in conflict wiit an applicable Home Owners Association rules,bylaws or and covenants that may restri or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which me apply.
In consideration of the granting of this requested permit, i do hereby agree that I will,in all respects,perform the ork
In accordance with the approved plans,the Florida Building Codes and St.Lucle 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-resid ntial use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your payin twice for
improvements to your property.A Notice of Commencement must be recorded and posted on he jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
s
Signature of Owner/Lessee/Agent Signature of ontractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFscu,de COUNTY OF91Lucia
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged be re me
this 34 day of Tyro& , 20 Iliby this ..i day of _J`Vh-t -20 IU y
WUTAM PAIlAD149 WILLIAM PALLADINO
{Name of person acknowledging} (Name of person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida j
Personally(mown X OR Produced Identification Personally Known x OR Produced Identi ation
Type of Identification Produced Type of Identification Produced
Commission No. EE208818 �o�"";; PAS Commission No.EE 20516 � ��� 10N#EEIA A 1Nd
IOMiEEffiEiSiS
# * WCOANSE(OiItEEMIS * EXPIRE :Jurtai4,24116
EXPIRES:June l4l,Vill so"
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS