HomeMy WebLinkAbout968 nettles permit.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Data: Permit Number:
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-3.553 Fax: (772) 462-1578 Commercial Residential xxxxxx
Property Tax ID #� -— - S I - S S - Cf o Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back Right Side: left Side:
Block No.
Di=i"AICED DESCRIPTIO OF WC)RK. - --
remove existing pedestal install new
CONSTRUCTION INFORMATION.
AaNtional work to Se i5enlOrmed un P -r iS nrArMif — r o !a *
��HVAC
0jj
LL1 Electric
Gas Tank
PlumbingSprinklers
E]Gas
Piping.
_
rr•r-
Shutters
Windows/Doors
Generator
Roof
Total Sq. Ft of Construction; Sq. Ft. of First Floor.
Cast of Construction: $ Utilities Sewer Septic Building Height.
ht.
OWNER/LESSEE _ -cc
Name—mal: 1.) U
Address:_ .= i/'7y Sya,y
Zip Code: 3 S ? Fax:
Phone No. - 3 30 _ G to - 0,a
E -Mail:
Fill in fee simple Title Holder on next Frage (if different
from the Owner listed above)
Name: John R Law
Company: L,aWs EieciAcal Service lnc
Address: 5358 NW Prirnm St
City: PT ST Lucie State: FL
Zip Code: Fax:
Phone Na. 772 370 4357
E -Mail: johnlaw5458@aol.com
State or County License: 29432
If value of construction is $2503 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL" CONSTRUCTtdlV LIEN LAi11U tNF-RMA;TIQN_:.
lJh5FGNER/1E=NGINEER: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: --
City:
Zip: Phone:
MORTGAGE COMPANY: � Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 far 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.
�5
Signature owner/ Lessee/Agent Signature of ConActor/License Holder
STATE OF FLORYDAJ STATE OF FLOBWA s
COUNTY OFA- _ COUNTY OF-�2
iJ'C^I
The forgoing instrument was acknowledged before me
thisl—dayof __1 20 7by
(Name
Personally Known K OR Produced Identification
Type of Identification Produced
The forgoing instrument was acknowledged before me
this I' day of24 jby
nf),04!9 ��_TOJM66�
(Name erson acknowledging)
{Signature of Notary Public- State of Florida }
Personally KnownV OR Produced Identification
Type of Identification roduced
Commission E Commission No- (Seal)
: •' ANNE BROWN WALMACH
.j:n. •.
Revised 4 EXPIRES April 2f, 2o2Q � My OpMffft N WALA+IRC}{
F �omryServiee can r.o�}3 "'o E�fPrF?E foil# F�4663
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU GRO
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS