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HomeMy WebLinkAboutBuilding Permit Application i � l ALL APPLICABLE INFO MUST BE COMPLEM FOR APPLICATION TO BE ACCEPTED Date: /�- l/i�l;) Permit lNumber- Building Bulilding Permit Application°, Planning and Development Services Building and Code Regulation Division I� 23W Vr ffliaAvenue,Fiut Pierce FL 34M Phone:(772)462--1353 Fax:(772)462-1578 Commercial i! Resid6ntial non u A PERMIT APPLICATION FOR: P !I 3©Select from dr+o box,+r�ictc arrow at the end of line PR PO _ - _ LP. - = 4 111lIPROVE E - Ti SEDCA O - M ' Address: /0 0 c --1- Legal -rLegal Description: i Property Tax ID S. `-� 5-L f S�j 0 t) c) — 000-6, 1 Lot No.— Site Plan Name: Block No. Project Name- Settiacks Front Back: Right Side: Left Side: DETAILED.- R1P'I`f0*-D—�Volo? DES' remove exisffng pedestal Install new 150 amp meter combo ck on pa ..._ - �.._. .. .. T aloin strut stand I ' QQNST N-INF - RIVI Ru crin o � o _ i l ona vuo to I e un er is permit—criecli au Mapp HVAC Gas Tank []Gas Piping _Shutters Windows/Doors RIElectric ❑Plumbing OSprinidem 1:1 Gene Irator Roof i Total Sq.Ft of Construction: S .Ft.of First(Floor: ; j Cokof Construction:$ ��c l)tiliti- Sewer �I_Septic Building Height: I. LESSEE: CO : l�TRACT - 4R:• - - Name PC kj L, d- f� 5 Name: John R Law = Acldness:_.1 �l 7,t r�� r lU company. L*G E]ectrical Service Inc City IM c f u:, �� Slate: Gs} Address: 515P NW Niuun St 4 Zip Code: 3 oz g Fax may; PTST Luse Ste:FL Phone No. Zip Code: 3� Fax: E-Mail: Phone No. 772 370 4357 1 Fill in fee simple Tide Holder on next pagwl if different E-Mail:Johntaw5lW6aeLcom from the Owner listed above) State or County License: 29k32 h If valve of tonstrucLlon is$23tf0 or more,a ItEf.OR©EL}Notice of commencemen 1,is required. £'d -8�Z6-699-i99 Lt�B£8L8ZL jMb1 e8£ 66 L6 Zb 08a . I S-UPPt i EN eC s 'RUGnoN: IEiV Iia 1N-FO.. . MA ia. . ... _ UE-SIGNERf ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: ! ti Address: i Address: city: State: CdY' ii State: Zip: Phone: Zip: Phone: 1 FEE SIMPLE rffm HOLDER: Not Applicable BONDING COMPANY: Not Applicable Name: I Name: t Address: Address I i City-- City: Zip: Phone: Zip: Phone: it I cerffy that no work or installation has commenced prior to the issuance of a permit St Lucie Court+ makes no representation that is granting a permit will authorize the ermrtholderto build1the subject structure which is in conflict with any applicable Home Owners Assoaation rules,bylaws or and cov rants that may restrict or prohibitsuch structure.Please consultvAth your Home Owners Association and review your deed for any restrictions whitch 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 Godes and St Lude County Amlendments. The follounngbuilding permit applications are exemptfrom undergoing a full concurrency review:room additions, accessory stnretures,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 mayi!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 tender or an attorney before commencing work or recordingnur Notice of Commencement i) s. _Signature k owner/Lessee/Agent Signature of Con r/Ucense Bolder ; STATE OF FLOPPAJ STATE OF FLOFMA couNTY OF (1C Ito COUNTY OF IL .I (1 The forgoing instrument was acknowledged:before me The forgoing instrument, acknowledged before me this ,day of Q gee-, , 2i}.1.�.by this !I day of .26 17 by ] in R Name person acknowledging) {game rson acm n"Iedging a I1 ;; (signature of NGtary Pubi'rc-5 o Florida) (Signatwe of Notary Puktiic--State of Florida) i � :j I Personally KK Fiown OR Produced Identification Personally Known.� �' OR PIroduced identification Type of Identification Produced Type of Identification produced jCommissions Commission No. iij6,� (Seal) ANNE YN 2- EXPIRES April 21.2= .- 1AW4y I N# RevisedW- M4 �., F7ffhesNyp�apm t WTj�. +1. ,` FFaftaS REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA GROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE �! COMPLETE INITIALS j! I; 'r l,'d Ltoc8L8ZLGMV1 L� Z6 080