HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE
�INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Sl �'6 Permit Number:
y _ _ _ . RECEIVED
6 M0Building Permit Application MAY 0 2 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Wiginio Avenue,Fort Pierce FL 3498.2
Phone. (772)462-1553 Fax:(772)462-1.578 Commercial Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line 5-\
PROPOSED IMPROVEMENT LOCATION:
Address: 7 3 7 r'WL1 C�Jv 0
Legal Description:
Property Tax ID _ �f-�'�— SG 1— U`�"�3 "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:
AdC itiona i wo�rk to b rmed under this permit—cheCK a apply:
HVAC Gas Tank []Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing 05prinklers 0 Generator hoof Roof pitch
Total Sq.Ftof Construction: Sq-Ft.of First Floor.
Cost of Construction: Utilities:0Sewer[ Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Nam e G J rc 4,-„f ✓- /o,,-f a 0 G,I'z A�l 4 Name: John R Law
Address: 7�v7y l.� ,Ht. .�(..� l�7 1 Company; Laws flecbical Service In,
--
Address:
S State:.L_?Jf Address: 5158 NW Primm St
Zip Code: e-1 L-1°a&U Fax: City: Pt ST Lucie State:FL
Phone No. S C) S 3 3 3s-rS" Zip Code: 34983 Fax:
j
E-Mail: Phone No. 772 370 4357 ,
Fill in fee simple Title Holder on next page(if different E-Mail:johnlaw5158Qaaol_com
from the Owner listed above) State or County License: 29432
if value of construction is$2500 or more,a RECORD Notice of Commencement is required.
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SLYPPi_EMENTALCONSTRUCTtON-UEN LAW-INFORMATiON:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
city: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: r Riot Applicable BONDING COMPANY: Not Applicable
Flame: Name:
Address: Addnes!--
city City-
Zip: Phone: Zip: Phone:
i
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 Ts in conflict with any applicable Home Owners 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 will,in all respects,perform time work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
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
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 lender or an attorney before
commencing work or recording our Notice of Commencement
s
_Signature Owner/Lessee/Agent Signature of Con ctor/license Holder
STATE OF FLORA - STATE OF FIL
COUNTY OF UC 1P COUNTY OF U
The forgoing instrument was a:knowledged before me The forgoing instrument was acknowledged before me
this f day of Yh d4 20 JJ�by this I day of 20 �S-by
(Name f person acknowledging) (Name l erson acknowledging)
r
(Signature of Notary Public-Sta 'of Florida) (Signature of Notary Public-State of Florida)
Personally Known k OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification roduced
Commission Commission No. (Seal)
' r ANNE BROWN WALMACH ;;, ••
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!' COlylyg N w1'AL4LgC
Revised EXPIRES Apo 21.2M - H
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION Sa-T ZGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS l
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