HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLErINFO/rMUST BE COMPLETED FOR APPLICATION TO BEACCEPTED 19Y.-
Date• Permit Numb
KCLUOrED
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Building Permit Application APR 18 2018
Manning and Development services Permitting Department
8uildingand Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fart Pierce Ft 34982
Phone:(772)462-3553 Fax:(772)462-1578 Commercial eS] en a
PERM IT APPLICATION FOR: To Select from dropbox,click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION: .
Andress:_j I U /y&_H1_e1
Legal Description:
Property Tax ID#: ,S-C'2- — �'o J— G F, Cl 0 U- 7 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:
Adclitional work toe performed under this permit—check all JhiA appy:
®HVAC Gas Tank []Gas Piping Shutters Q Windows/Doors
RElectric FlPlumbing ❑Sprinklers 12
Generator Roof Roof pitch
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ I'�C�u `' Utilities:ll Sewer 1-1 Septic Building Height
OWNERILESSEE: CONTRACTOR:
Name Name: John R Law
Address: �S�( S},,f ,� 7 Company:Law's Electrical Service Inc.
City: 114,--, State:L7 Address: 5158 NW Primm St
Zip Code: 13(�LIQ_ Fax: City: Pt ST Lucie State:FL
Phone No. Zip Code:34983 Fax-
E-Mail: Phone No. 772 3704357
Fill in fee simple Title Holder on next page(N different E-Mail:johniaw5'lSBQaol.com
from the Owner listed above) State or County License: 29432
If value of construction is$2500 or more,a RECORDED Notice of Commencement Zs required.
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DESIGiNERJENGINEER: _Not ApplicableIiRORTGAGE COMPANY: Na Applicable
Name: Narrxe: .
Address- Address: -city: State: Cdr- State:
Zip: Phone- Zip: Phone:
PEE SIMFI.E TFElE m=ER.- _„�,Not Applicable BONDING COMPANY: