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HomeMy WebLinkAboutMiltonJanice Permit&Agreement 2020-06-24_144852ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION: -�� Address: I� U �_IR 1 C' H 0. i-6 f2f 16 lzr,65 - H 9 Legal Description: U f"RI U4 15 -�Z /D i 1,-K 1=- a 5 Er ® F 1,0 T 10 I-..t _rt5 I { 12 13 60,55 Ac — 2.3 95a F 6c>a- 344q- ?14 Property Tax ID #: 3 }4 I o '�00'3 - 00 rl a ^ O ©0 - tr' Site Plan Name: Prniart Name- Setbacks Front Back: Right Side: Left Side: i Lot No. Block No. DETAILED DESCRIPTION OF WORK: U s i it-( G F=X I ;S-ri N& 150 C> M i? fz �'�4 rL� 2. `r f4 A-i t S L'�t� t ►� j �- dO Prrn? M/1_ k-.cr+-Q CC'QrEQ- I N d t b a CI A tJGt' i'o t Go f' M P k rz'r T`ED MA_ L6 R D - c'70-ct X Jditionai work to oe perTormea OHVAC 0 Gas Tank MElectric F-1 Plumbing this permit — check all mat apply: ❑Gas Piping _ Shutters Sprinklers 1i Generator Total Sq. Ft of Construction: Cost of Construction: $ 00 a 6C` Sq. of First Floor: _ Utilities: LJSewer aSeptic 0E- Windows/Doors L1Roof Roof pitch Building Height: OWNER/LESSEE: CONTRACTOR: Name M % t:TctA Name: LOVJ6 Company: (i Pi Q-lC-S "o e E LF_C_-rV_l ei 11rNc Address: 45 a i6e f N A N Do ELT. MT A Address: l'163 U -9 ,\C-1A �KD- City: r6 Q-T PI ER-Ce State: r— L Zip Code: 11 g RZ Fax: Phone No 17a 5 -is10 E-Mail: City: V 0Q_T PJ E RcC- Stater Zip Code: 992- Fax: Phone No. 07 a 33), ` q G toS Fill in fee simple Title Holder on next page (if different from the Owner listed above) E-Mail: C O W C C \ ex -AY % c r,e P ab 1 i MID State or County License: _�2 6 9'+ I 1:R-06\511 i If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not App Name: Address: City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: Name: Address: Citv: Zip: - Phone: _ Not Applicable State: BONDING COMPANY: _Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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 is 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 I will, in all respects, perform the 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 rnmmanrinu work or rPrnrdincs vnur Notice of Commencement. 'gnature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLO-8�jD STATE OF FLORIDA COUNTY OF -l-- L4 >" J .0-- COUNTY OFF- 4 ti C_ i The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me thi�day of u 20 by this day of J u.�v� Z0_ by 4'7K,�f �.5. ��. f� A✓G{ D � . Name of per aking statement Name of person aking statement Personally Known r/ OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced t Produced g y ° $ % ate of Florida Si n ture of Nota u c �y YA ynn o yn a worth Sin u re o g r� / y_ c. . My commission G 119396 Commission No.`y d. (� Expires 07 1 State of Florida Commissio�l orth �S l) o~=�V^wh c� }n G 119396/2021. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 This agreement is between CHARLES LOWE ELECTRIC, INC (CHARLES LOWE) and JANICE MILTON Property Address: 703 ULRICH RD., FORT PIERCE, FL 34982 Work to be performed: USING EXISTING 150 AMP BREAKER THAT IS FEEDING 100 AMP M/L LOAD CENTER INSIDE RESIDENCE — CHANGE TO 150 AMP RATED M/L LOAD CENTER. Agreed amount for the work to be performed: $1,500.00 Contractor: //Charles Lowe — Charles Lowe Electric, Inc d �� . DATE: �� �`'✓ Homeowner/Representative DATE: '19- `� J G1 ZQ z