HomeMy WebLinkAboutventure marinaALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —t7—� Permit Number.
Building Permit Application
Plonning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772) 452-1553 Fax: (772) 462-7578 Commercial —IL Residentia,'
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10 7 � � �., f2C r a
Legal Description:
Properly Tax ID #. , � j <J _ � C� � C-) - „G 1 = S- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED. DESCRIPTION OF WORK:
IFa'I -5 A � I 1 V rC.3 /� ✓a`,,p _ j 'CYVs � C �r r %fir% %�1/4[
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CONSTRUCTION INFORMATION:
it�nn� �unr to w nea nano nn ar �r nearrrs�t .,,. r ar � .t n+ nr�n
11HVAC
U Gas Tank
DGas
Piping
1i Shutters
F]Windows/Doors
®Electric
El Plumbing
FSprinklers
to
Generator
11 Roof
Total Sq. Ft of Construction:
v
Cost of Construction: sz 10 0 �
Ft. of First{ �Floor:
Utilities Sewer L ] Septic Building Height:
OWNERAESSEE:.
CONTRACTOR:
Name �% v, arc _ lil s , �--�
Name: John R Law
Company: Law's ElectricalSenrice Inc
Address:GCT e� ��l
City: _ t h 5-c -, n r i 4 ,L1 State: f (
Address: 5158 NW Primm St
Zip Code: 3 r 1 C, S Z Fax:
City: PT ST Lucie State: FL
Phone No.
Zip Code: 34983 Fax:
E -Mail:
Phone No. 772 370 4357
Fill in fee simple Title Holder on next page (if different
E -Mail: lohnlaw5158@diaoi.com
State or County License: 29432
from the Owner listed above)
or varoe or conwucuon Ls ,,Asbuu or more, a KELUK0EU 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, l 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
commencing work or recording your Notice of Commencement.
Signature awned Lessee/Agent
STATE OF FLOR A
COUNTY OF� (,)� lP_
The forgoing instrument was acknowledged before me
this & day of _� :L 20 17 -by
Personally Known K OR Produced Identification
Type of Identification Produced
Commission
BROWN WALMACH
Revised IFI.- `,g EXPIRES April 21, 2020
S
Signature of Con ctor/License Holder
STATE OF FLOWA
COUNTY OF - UC/�
The forgoing instrument was acknowledged before me
this day of S r 20 ) by
(Name erson acknowledging )
Ji'd
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification roduced
Commission No.—/— r J"64_�) (Seal)
t`"r"'' �+M EXPIRE ION # FFF984883
071 zee
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COUNTER
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