HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 d& Permit Number.
Building Permit Application
Planning and Development Services
Building and Code Reguladan Division
2300 Virginia Avenue, Fort Pierce FL 34382
Phone: (772) 462-7553 Fax: (772) 462-7578
Commercial Residential =o=
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSI D'i111IPROVEMENT LOCATIf3N:
- _
Address: SA U (/1J, L \-)
Legal Description:
Property Tax ID #: '- - '7 v f - U& 7 7 - 0 0 G', - Lot .No.
Site Plan Name:
Protect Name:
Setbacks Front Back: Right Side: Left Side:
DETAILEb-DESCRIPTION OE-1t11'i)RIC
Block No.
remove existing pedestal install new 150 amp meter combo pack on 2" alum strut stand
CONSTRUCTION INFORMATION
Addifional work to age Orme un PT le narmW _ r ar + --+ �.... ,.
1]HVAC O Gas Tank
RiElectric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ . 0v "
OWNER/LESSEE
1►
Piping I I Shutters
nklers CGenerator
Sq. Ft of First Floor. _
Utilities:Sewer 0 Septic
Address; ,r)6 at #e_1 hv1i, l� _
City: I i L L L v c- 14'aL State= l
Zip Code: 3(-1 s-.9- Fax:
Phone No.
E -Mail:
Fill in fee simple Tide Halder on next Page (if different
from the Owner listed above)
Name: John R Law
E]Windows/Doors
ORoof
Building Height.
Company: Law's Electrical Service Inc
Address: 5158 NW Primm St
Cly. PT ST Lucie
State: FL
Tap Code: 34983 Fax.
Phone No. 772 370 4357
E -Mail: j0hnlawS158030l.com
State or County License: 29432
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
'SUPPLEMENTAL. CONSTRUCTION LIEN f:alViNEORMATC}N;
DES I ME ENGINEER: Not Applicable MORTGAGE COMPANY: Name: NotAppficabie
Address: Name: �`
City: Address:
State: City: State:
Zip: Phone: Zip: - phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY.
Name: Not Applicable
Address: Name:
City: Address:
Zip- Phone: City.
Zip= . Phone:
I certify that no work or installation has commenced prior to the issuance of a ;permit.
St. Lucie Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con#lict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Nome 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 pians, the F=lorida 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
COrn 'nencing work or recording our Notice of CarrimPnrammn+
SigriaturexOwner/ Lessee/Agent
STATE OF FLOR DA
COUNTYOF r f
The fnr?Aing instrument was acknowledged before me
this day of s 1 20 Eby
Personally Known Y OR Produced Identification
Type of Identification Produced
Commission
BROWN WALMACH
Revised &IBM4 EXPIRES April 21.2o2f1
REVIEWS FRONT ZONING SUPERVISOR
COUNTER REVIEW REVIEW
DATE
COMPLETE
INITIALS
Signature of Con ctorJUcense Holder $
STATE OF FLO c
COUNTY Or (✓
The foreoing instrument was acknowledged before me
this day of S ') i ZO ! ? by
(Name erson acknowledging)
s ? �
{Signature of Notary Public- State of Florida )
Personally Known OR Produced identification
Type of identification roduced
Commission No.
' (Seal)
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My OMISSIONW F 4fACM
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PLANS VEGETATION SEA TU`°� NGRO
REVIEW REVIEW REVIEW REVIEW