HomeMy WebLinkAboutventure marina northALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0o-
Building Permit Application
Planning and Development services
Building and Code Regulation Division
.2300 Virginia Avenue, Fort Pierce FL .34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial_ Resident:ia,'
PERMIT APPLICATION FOR: To Select from dropbox, dick arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: /0'? 0 1 C. V� r/J
Legal Description:
Property Tax ID #: — _ U Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Sider
DETAILED DESCRIPTION Of WORK.
1 'V t 4 t+
iIvv FL, S I1'r _S
CONSTRUCTION INFORMATION:
b
e workto orme un er is permit — c ec a apply:
11HVAC OGasPiping_Shutters Windows/Doors
zElectric 0 Plumbing Sprinklers O Generator 11 Roof
Total Sq. Ft of Construction:
v
Cost of Construction: $
Sq. Ft. of First Floor: _
Utilities:Sewer OSeptic
OWNERAESSEE: CONTRACTOR.
Building Height:
Name u Name: John R Law
Address: / G 2 o i C' t r IaL,- --- Company: Law's Electrical Service Inc
City: r r State: �,[ Address: 5158 NW Primm St
Zip Cade: G Z Fax: City: PT ST Lucie State: FL
Phone No.1 Zip Code: 34983 Fax:.
E -Mail: Phone No. 772 370 4357
Fill in fee simple Title Holder on next page ( if different E -Mail: johnlaw5158Qaol.com
from the Owner listed above) State or County license: 29432
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
`SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJI_NGINEER: Not Applicable MORTGAGE COMPAN
Name:
Address:
Cit: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address:
City:
Zip: Phone:
Y.
Name: Not Applicable
Address:
City: State:
Zip:
BONDING COMPANY:
Name:
Address:
city:
Zip: - phone:
Not Applicable
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, I 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 our Notice of Commencement.
Signature Ownerl Lessee/Agent Signature of Con ctor/License Holder s
STATE OF FLOR DA - STATE OF FLO t
COUNTY OF C COUNTY OF� [
The forgoing instrument was acknowledged before me
this 0 day of 20 _LZbY
Of
The forgoing instrument was acknowledged before me
this day of 20 Eby
(]Name erson acknowledging j
(Signature of Notary Public -State of Florida)
Personally Known K OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification roduced
Commission
BROWN WALMACH
Revised &71,26,14 ,4 EXPIRES Ap6121, 21320
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INITIALS
Commission Na. (Seal)
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