HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ O
Date: �U o2(S/� Permit Number: W 5T
RECEIVED
•
Building Permit Application JAN 2 5 2018
Planning and Development Services ST. Lucie County, permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34-982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x`00 `x
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: _
Address: .S 3
Legal Description:
Property Tax ID#f: 1—/SVv 2 S-0 i O 77 9 0,0 6' Z. Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
LDETAILED DESCRIPTION OF WORK:
Remove Existing Pedestal Replace with new
ECLONSTRUCTION INFORMATION:
itiona wor to e e orme under this permit—c ec c a apply:
HVAC Gas Tank F]Gas Piping _Shutters Q Windows/Doors
J Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ / 61 Utilities:0 Sewer ElSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name nuY9 r.- � a' .,, Name: John R Law
Address: _ul Z itle /-fi-ri I D Company: Law's Electrical Service Inc.
City: `�ch s Y bL r f'_ 1, State:f1z f-zAddress: 5158 NW Primm St
Zip Code: 3``( �! `7 Fax: City: Pt ST Lucie State:FL
Phone No. .Z. `i /-S S~3 Zip Code: 34983 Fax:
E-Mail: Phone No. 772 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail:johnlaw5158@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.
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UPPLEMENTALcanis# CtcnoN=uEf�=lJaNrrN oRivtAnriry
DESIGNER/ENGINEER: ,Not Applicable MORTGAGE COMPANY: �Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: 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 prohibitsuch
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 atl respects,perforin the work
in accordance with the approved plans,the Florida Building Codes and St_Lucie County Amendments.
The following building permit apprications are exempt from undergoing a full concurrency revieur_roomadditions,
accessory structures,swimming pools,fences,wafts,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your fan7ure 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 tender or an attorney before i
commencing work or recording our Notice of Commencement
s
—Signature/Owner/Lessee/Agent Signature of Co ctor/License Holder
STATE OF FLOR A STATE OF FLO
COUNTY OF _ L)OtO COUNTY OF rip
The forgoing instrument vras acknowledged before me The forgoing instrument was acknowledged before me
this day of �r. 20 1,2.by this;; day of��� .201
(Name of person acknowledging) j i (mane erson acknowledging)
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(Signature of Notary Public-State Ronda} (Signature of Notary Public-State of Florida)
Personally Known X_OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification roduoed
Q n
Commission Y �" A Commission No. � (Seal)
_�`'"`' = OHNE BROWN WALMACH ;
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84663
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TU GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RATE
COMPLETE
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