HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .z f} `) 1 Permit Number: q(3a—d A S
RECEIVED
FEB 2 0 2018
Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
_
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential x*0000m
PERMIT APPUCATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED1 IMPROVEMENTS/LOCATION:
Address [ �o ---/V r7 e-J j�I
Legal Description:
Property Tax ID#: (2 S 1 (2 0 2 2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove F-cisting Pedestal Replace with new
CONSTRUCTION INFORMATION:
Additional work toa performed untlert is permit—check all apply:
HVAC Gas Tank []Gas Piping _Shutters a Windows/Doors
ZElectric 0 Plumbing Sprinklers Fi Generator Roof Roof pitch
Total Sq.Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$ aoo Utilities: USewer OSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name 11'c n t P(I /J G 1 s .t T rZ Name:John R Law
Address: I ) I -11 n e,-.i :�., r_ .,. Y)a Company: Law's Electrical Service Inc.
City: We, tl r1£rte State: X� Address: 5158 NW Primm St
Zip Code: (Cc,/.<'1Y Fax: City: Pt ST Lucie State:FL
Phone No. 1— 7L'Y X70 5 7-1 S` Zip Code:34983 Fa)r
E-Mail: Phone No. 772 370 4357
Fill in fee simple Title Holder on next page(If different E-Mail:1ohnlaw5158@0XA-com
from the Owner listed above) State or County License: 29432
If value of construction is$25W or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONST IRolmON LIEN iAWINf=ORMAT(ON
DESIGNERjENGINEER: _Not ApplicableMORTGAGE COMPANY: Not Applicable
Name: Name: -
Address: Address:
Gty: State: W State:
Zip: Phone: Zip: Phone.
FEE SIMPLE TITLE HOLDER: ____Not Applicable BONDING COMPANY: :Not Applicable
Name: Name:
Address: Address:
City' city.
Zip: Phone: Zip: Phone:
certify that no work or instaffabon has commenced prior to the issuance of a permit
St Lude 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 appbcable Home(tivners Association rules,bylaws or and covenants that may restrict or prohibit such
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 1 wiU,in ala respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
The falIwArmg building person applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,vralls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your faulure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must he recorded and posted on the jobsite
before the first inspection_If you intend to obtain financing,consult with lender or an attomey before
commencing work or recording our Notice of Commencement-
Signature
ommencementSignature Ovmer/Lessee/Agent Signature of Co ctor/Llcense Holder
STATE OF FLOR STATE OF FLO r
COUNTY OF COLRM Of
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 111 day of Fc 20 try this day of �� 20 ,by
(Name of person adcnowledging) (rvame arson acKnowledging)
, r u
(Signature of Notary Public-S Florida) (Signature of Notary cccPuublic-State of Florida)
Personally Known OR Produced Identification Personally known OR Produced Identification
'type of Identification Produced Type of Identification roduced
Commission Commission No. G (Seal)
ANNE BROWN WALMACH
FF
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