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99 nettles permit
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED C�3C..iNT'Y F. L O. R i D A - Permit Number: 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 Residential xx o= PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: Address: t1 ivll Legal Description: Property Tax ID ##: SC1 �- — -v — G _ LC 000 — 2 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Bight Side: Left Side: DETAILED DESCRIPTION OF WORK: remove existing pedestal install new 150 amp meter combo pack on 2" alum strut stand CONSTRUCTION INFORMATION: Additional wor to a orme un er t is permit QHVAC E]GasTank []Ga! ZElectric ❑ Plumbing ospi Total Sq. Ft of Construction: Cost of Construction: $ Piping jjL1 Shutters nklers L J Generator Sq. Ft. of First Floor: _ Utilities: OSeptic Windows/Doors Roof Building Height: OINNR/LESSEE: CONTRACTOR: Name _L>4 ,q�c, c� fz 1:,t Name: John a Law Address: k.2 2 /V f c �c,r . �,/r Company: Law's Electrical service Inc City: r 1 e U, i E State: Address: 5158 NW Primm St Zip Coder Fax: City. PT ST Lucie s 4 State: PL Phone No.(% 7p _ Zip Code: 34983 Fax: E -Mail: Phone No. 772 370 4357 Fill in fee simple Title Holder on next page (if different E -Mail: johniaw5158@aol.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. SUPPLNINTACMNSTRUCFI(]N.iEl LAW tN�ORMATtt�N. - ©ESIGi�IERJENGtNEER: Not Applicable .MORTGAGE COMPANY• Not Applicable' . Name: Address: Name: Zip:ZiAddress- State: City: p: Phone• State: Zip: Phane: FEE SIMPLE TITLE MDL@Etc: Ncrt Applicable BONdING COMPANY: _ Name; Not Applicable Andress: Name: City Address: - Zip: Phone: City: . 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 Horne 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 5t. 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 before the first inspection. If you intend to obtain improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite financing, consult with lender or an attorney before com,nencin work or recording our Notice of cnrnrnPnrx%mar.+ Signature Owner/ Lessee/Agent STATE OF FLOR A COUNTY OF , r [ The forgoing instrument was acknowledged before me this 1-I day ofd 20 ruby Personally Known OR Produced Identification -type of identification Produced Commission ftri-, .- '� ANNE BROWN WALMACH Revised d%I T 'z4. EXPIRES APNI 2t, 2020 Signature of Con ctorfLicense Holder s STATE OF FLO c COUNTY OF� The forgoing instrument was acknowledged before me this I y day of 20 f 7 by (Name l erson acknowledging.), (Signature of Notary Public- state of Florida Personally Known OR Produced Identification Type of Identification roduced Commission No,f (Seal) REVIEWS co�l�vl ER�rNill-_NwGvrl�wOR REVIEW R Tf COMPLETE INITIALS MY COM ..Y W r<orj 3 EXAI,q 101y# FFA h VEGETATION SEA lU �"' NGRO REVIEW REVIEW REVIEW