HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO
/MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .d 91114y Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services MAY 10 2018
Building cnd Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST;Lucie County, Permitting
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential io�cx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line '
1
PROPOSED IMPROVEMENT LOCATION:
Address: 10-7,2-5- 4!::� 3 6
Legal Description:
Property Tax ID#: !/G 3 ' GG G - It Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Remove Existing Pedestal Install new 150 amp meter combo pack on 2" alum strut stand
,$ 'rc '6 i%t /��fig
CONSTRUCTION INFORMATION:
Ac1clitional work to e e orme under this permit—check a apply:
HVAC Gas Tank []Gas Piping _Shutters F7Windows/Doors
EElectric E]Plumbing ❑Sprinklers El Generator Roof Roof pitch
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$��f���> Utilities: Sewer QSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name '�.1 c-+-4, j?e el.4 I'l UN Name: John R Law
Address: %0 7GC r-:.% f)4— 4zf 3 6 Company: LaWs Electrical Service Inc.
City: 7ev,s c" 13 f4�G, State: !=/ Address:.5158 NW Primm St
Zip Code:`1 r'JS`7 Fax: City: Pt ST Lucie State:FL
Phone No. cl 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.
l,'d el,0:0l, 8l 06 AeW
SUPPLEMENTIAL CONSTRUCTION LIEN LAW INFORMATION:
►! DE5]GNERJENGII1iEER: Not Applicable MORTGAGE COMPANY: NotApplicable
f Name: Name:
Address: Address:
city. State: City: State:
Zip_ Phone: Zip: Phone:
j FEE SIMPLE TITLE ROLDER: Not Applicable BONDING COMPANY: Not Applicable
Name_ Name:
Address: Address:
Crty_ City.-
TP: Phone: Zip: Phone-
OWNER/CONTRACTOR Ar-FIDV1T:.AppIKztion is hereby made to obtain a permitto do-the work and installation as indicated_
I cerfffy that no work or installation has commenced prior to the issuance of a permit.
St-Luoe County makes no representation that is granting a permit unll authorize the permit holderto build thesubject structure
which is in conflict wth any applicable Home Owners Association rules,bylaws orand covenantsthat 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 ofthe granting 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 Lucie County Amendments.
T'ne following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pcols,fences,walls,signs,screen rooms and accessory usesto another non-residential use
W,kRNING TO OWNER:Your•Failureto Record a Noldce of Commencement may result inyour payingtwicefor
improvements to your property-A Notice of Commencement must be recorded and posted on thelobsite
before the first inspection.if you intend to obtain financing,consult vuitft lender or an attorney before
co7nmenc-ing work or recordinaVour Notice of Commencement.
Signature of nerf Agent)Lessee Signature of retractor "cense Holder
STATE OF FLORIDA STATE O FLORIDA
COUNTY OF ST.LUCIE COUNTY OP ST. LUCIE
T•ne forgoing insErumentwas acknowledgredbefore me Thefo ping instrumentwas acknowledged before me
,his_* day of 2-9LF_by thisday of k1,14 4 26_/0_by
LAO
r-jame of person at'kwmrJh-*dging) (Name of person&krfe6ledging)
(signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known ✓ 'OR Produced Identification
Type of Identification Produced Type of Identification Prodamo
Commission No- FF 984653 ;;rt;;� I E BROWN WAL H mission Ivo_ F 63 � (Seal)
- - n
MY COMMISSIQN FF g3 b ANNE 13ROWN WALMACH
or EXPIRES April 21,2020 984Wa
Revised 071151207.4 (407)9960153 Fbrk" 407.aom •)39a-0153 EXPIRES Apn121.2020
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REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
t7ATE '
RECEIVED
DATE
C011APLETED
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