HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: IZ J � Permit Number:
- RECEIVED
Building Permit Application
Planning and Development Services FEB 13 2018
Building and Cale Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34982 LU .e County, Permitting
Phone:(772)462-1553 Fax:(772)462-1578 Commercial R
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: /U 70 1 S- v -el j On 1�r eG 7 r
Legal Description:
Property Tax ID#: LIS-1/- f 1c"S - Uy'7,2- - o c,L, - ? Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Pedestal Replace with new
CONSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a appy:
HVAC E]Gas Tank Gas Piping CGenerator
Shutters Windows/Doors
ZElectric 0 Plumbing Sprinklers Roof Roof pitch
Total Sq.Ft of Construction: S Ft.of First Floor: _
Cast of Construction:$ lto 00•d O Utilities:RSewer USeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name s c, r v ,., c 1 1 f Name:John R Law
Address:_ 3 3 Q VIA c �we rn /j•-r �N,r If'%�- Company: Law's Electrical Service Ina
City: P-1,./ rQ, --.;, State: G r Address: 5158 NW Primm St
Zile Code: U �--/& C Fax: City. Pt ST Lude State:FL
Phone No. / :A& 3 ' 7 7 - S 7 Zip Code: 34983 Fax:
E-Mail: Phone No. 772 370 4357
Fill in fee simple Trtle 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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DESIGNER/ENGINEER: �NotApplicable MORTGAGE COMPANY: _NotApp{icable
Marne: Name:
Address: Address: State:
city: State: City
7j,p: Phone: Zip: Phone:
FEE SIMPLE T rLE HOLDER: —Not Applicable BONDING COMPANY: Not Applicable
'Name: Name:
,address: Address:`� Cty: -
:7jp-- Phone: Zip: Phone:
I certify that no work or installation has commenced prior tothe issuance of a permit
St.Lucie County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable home Owners Association rules,bylaws or and Tenants that may restrict or prohibit such
.tructure-Pleas--consultwrth your Home OvrnersAssociation and revievi your deed for any restrictions which may apply_
In consideration of the g:anting 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 Lurie County Amendments.
''he following building permit applications are exempt from undergoing a Full concurrency review-room addili'om%
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
irnp,ovements to your property-A Notice of Commencement must be recorded and posted on the jobsite
bef ore the first inspection-if you intend to obtain financing,consult with lender yr an attorney before
rommencin work or recording your Notice of Commencement-
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Signature Owner/Lessee/Agerrt SgnatureofCon ctorjlicense Holder y
;TAPE OF FLOR A - STATE OF FLO +'
COUNTY of Lic/p a:oul�Tx ol: ��f
The Njoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_y day of (= L, . 20 jgby thisI)- dayof 20 by
(Name of person acknowledging) i (ream erson acknowledging) /
AS
Sia azure of Notary Public-State Florida) (5rgnature of Notary Public-State of Florida)
Fersonally Knmvn K OR Produced Identification Personally KnownV OR Produced Identification
Type of Identification Produced Type of Identific ateon roduced
t-- n
Commission J r �� Commission No- _Vk (Sea i)
ALINE BROVVN wALMACH
EXPIRES Aprl 21,Ce20a� 0 ry ` C4Revised N Wi4LMgGl I
MISStpNEXPIRES ;t
LW
REVIEWS FRONT ZOht1N6 SUPERVISOR PLANS VEGETATiOfdSEA Til GROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
GATE
COMPLETE f it
INITIALS
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