HomeMy WebLinkAboutBuilding Permit Application Ail.APPLICABL IN 0 UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O
Date: 07/ a Permit Number: U
S40ii_ _ RECEIVED
Building Permit Applicatip n
Planning and Development Services J U N-1 4 2018
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 3498.2 ST. Lucie County, Permitting
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPUCATION FOR: To Select from dropbox, click arrow at the end'of line
PROPOSED. IM PROVEMENT-LOCATION:::
Address: "/ U
Legal Description:
Property Tax ID S-U. D I " t U ge G U — Z Lot No.
Site Plan Name: Black No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCR1PT10N.-M WORK:: _
Remove Existing Pedestal Replace with new
C Q
CONSTRUCTI N INFORMATION:
A40itional work to tie neifairmea un ert is permit—c-ec a appy:
Qj
HVAC L,._IGasTank ❑Gas Piping OGenerat,or.
Shutters QWindows/Doors
RJElectric Q Plumbing Sprinklers Roof Roof[Ach
Total Sq.Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$ Y p
tf ��> Utilities: Sewer a Septic Building Height:
OVVNER/.LESSEE: CONTRACTOR: . ...
Name i,/t_r Jo— CC,: Name:John R Law
Address: Zb c- ,LfzJ (err, Company: Law's Electrical Seivioe Inc.
City: Oe'4 c 4 State-../--,r Address:6158 NW Primm St
Zip'Code: _3'-/ 9S_7 .fax: City:Pt ST Lucie State:EL
Phone No.. 3 2,3 (v `( � Zip Code: 349:3 Fax:
E-Mail: Phone No_772 3704357
Fill in fee simple Title Holder on next page(if different E-Mail:1ohn1aw5168@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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FPLEMEN IAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENIGiNEER: Not Applicable I�IIORTGAGE'CONIPANY- Not Applicable
Name: Name:
Address: Address: x
City- State: city: State:
Zip: Phone: gip: Plane•
FEE SlIV1PI.E TITLE HQLI]ER: Not Rppiicalale BONDING 1CO INW: Not Applicable
Name_ Name:
Address- Address:
P=
Phone: Zip:• Phone:
pWNER[COIIITRAC.TOR AFF I[XVITzApplication is hereby madetci obtain a permitto do the workand installation as indicated_
I certify that no work or installation has commenced priortathe Issuance ofa pernft-
st-LudeCounl makes no representation that is granting a permit will authorltethe permitholderto build the subjectsdvctuure
which is in con ict v nth any applicable Home Owners Association rules,bylaws or and covenants that may restricC ssr prohibit such
structure_please consult vvitff your Home Owners Association and rei iew your deed for any restrictions which may apply.-
in consideration of the granting oft this requested permit,I do hereby agree that I will,in all respects,perform the iuork•
in accordance with the 2pProved plans,the r4orida Building Codes and St.Lucie County Amendments-
The WIDWIng
mendmentsThefollDwing Building perraitapplications are exempt:from undergoing a Ul concurrency reuiew:room additions,
accassory structures,swimming pools,fent walls,signs,screen rooms and accessory uses to anothdr non-ressdenUal use
WARNING To OWNER:Your failure to Record a I4otice of CwnMe ncement may result in;your pa0gg tunce for
ilnprovemenisto 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 attbmey before.,
cornmenOn work or recordin •. o"ur Notice of Commencernent.
SI nater f owner)Agents lessee signatur Camra torlucense i-iolder ..
STATE OF FLORIDA STATE OFN7FLORIDA
COUNTY OF Si:LUCIE CQUy t* 5T.LUCIE
Theforgoinginstrumentwas acknowledgedbetbre me The fargoinginstivmentwas acknowledged before me
this day of J""P J H c .20f_,b}F this l l day of -3 c.yr c_ .2bby
riled n (Name of person a`hFtt3'tOledging l
(Name of person ac6 gi g
�5gna#sre ofNotary Public-State of Florida I- (ai$nairire of Notary Public-State of Florida 1
Personally Known k/"' OR produced identification Personally Known "✓ `ETR Produced Identification
Type of identification produced Type of Idetttif-a ation Prodmed
Commission No._FF 98"63 ^•; R I BROWN WA mission Wo.- F y 63 (Seal)
ti w ANNE BROWN WALMACH
MY comwssloN#FF 83
o„ •.- PIRES April 27,2Q2Q •M 1=984663
Revzsed07115/2114 {�° °,�' FIwMeNoq
„a EX?JRES April 2l.;
(40T�99A753 FlorarNorarySnMa¢.wm
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGEI"ATIoN SEATURTLE` MANGROVE ,
COUIViER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
fCOAMPLETED ��-
Z-d
EIVED
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