HomeMy WebLinkAboutBuilding Permit Application INFO MUST BE COMPLETEDOOR • • BE ACCEPTED
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Building Permit Application MAR 2 � 2017
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and Code Regulation Division r r
Phone:�300 Virginia Avenue,Fort Pierce FL 349a2 7h
Commercial Residential
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Nam James W Law
Addr- — .. ,r, .�� Company: -
Zip •Ie:-::5!R :2 Fax: City._ Port St.Lucie
State. FL
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simple. Zip Code: 34§52 Fa)c 772-878-3347
E-Mail: Phone jqo. 772-971-4512
Fill in fee an next page differentlawWectiicinc@aol.com
from the Owner listed rr or • EROOOO122
constructionff value of is$2500 11 . • - I M Notice Of Commencement is required.
F
MENTAL CONSTRUCTION LIEN LAVA INFORMATION:
RjENGINEER: s/Not Applicable MORTGAGE COMPANY• �/ Not Applicable
Name:
Aress: Address.•
CO- State: City: State:
rip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _1/_Not Applicable BONDING COMPANY: Not Applicable
Name: Name:-
Andress: Address
City:
Phone: Zip: Phone:
I cwiify that no work or installation has commenced prior to the issuance of a permit
S.Lucie Cauntt��rr makes na representation that is granting a permit will authorize the permit haldetot build the subject stccttcre
w)Cicit rs,n carrfiictwrth arsy applicable Borne OwnersAssodatconiules,bylavrs or and covenants t may restrict or prohdirtsuch
savcture.Please comsat with your Home Owners Assocsatfion and review your deed for any restrictiorn whidt Wray appCy.
in consideration of the granting ofthis requested permit,l do hereby agree that I will,in all respects,perforin the work
iri accordance with the approved plans,the Florida Building Codas and St Lucie County Amendments.
T�efollowing building,permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swiniming 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 mW 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
iornmencing work or recording our Notice of Commencement,.
si&4fiture of Owner/A&M/Lesseeature of Contractor/License Holder
STATE OF FLORIDA = STATE OF FLORIDA
COUNl3F OF SAINT WCIE COUNTY OF SAINT WaE_
The forg9ft' eat
acknowledge20,adbefore meet cr,ent a�+c owle20�by re me
I
JAMES W LAW JAMES W LAW
(dame of person acknowledging) (Name of person acknowledging)
a,--- OA,(., &
(Sthature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known_ OR Produced Identification Personally Known V OR Produced identfication
Type of Identification t9duced Type of identification Produced
Can+missiar►No. (Seat) Commission No. tom/=7 t `Y _ (Sean}.
,•`'' ' ANNE 8ROWN
1110 BROWN WALMAC-H-
MY CpMMISSION#FF%4663 •`5 MY COMMISSION#FFOWS3
Revised 471151201.4 EXPIRES A rit 21;
loci srsotism p2020 EXPIRES April 21,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
Z•d -89Z 6-69-695
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