HomeMy WebLinkAbout534 nettles permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /a 11AA.Z.2 Z) Permit Number:
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Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Building Permit Application
Commercial Residential xx)ox
Address: Y 3 `f A/0 ffl-r-j /3/("/
Property Tax ID #: ySO.Z - S'o ) O %Z D - Go 0 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace Existing Meter pedestal
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Block No.
_Mechanical
_ Gas Tank
—Gas Piping
_ Shutters
—Windows/Doors
_ Electric
_ Plumbing
_ Sprinklers
_ Generator
_ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ SIJ
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name c
Name: John Law
Address: S^3 - NG Ic//rte %i/..'00'
Company: Law's Electrical Service Inc.
City: I2r-.c 4, State:
Zip Code: 2Y 17S- 7 Fax:
Phone No. / Ste- P;- 1- 700-0
Address; 5158 NW Primm St
City: Pt St Lucie State: FI
Zip Code: 34983 Fax:
Phone No 772 370 4357
E -Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
E-Mailjohnlaw5158@aol.com
State or County License EC 13006370 29432
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone
State:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
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Address:
City:
City:
Zip: Phone:
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
or recoroing your Notice of
as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this kday of 0C.20'Wby
Name of person m;king statement
Personally Known __,ZOR Produced Identification
Type of Identification
Produced
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this 1e day of OGd- . 203Q by
Name of person making statement
Personally Known _;z OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State ofFa. '
I d.brµ�.ti:•. RACHEL DAVIS
Commission No.,' F
REVIEWS
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FRONT ZONING
COUNTER REVIEW
MY COMMISSIO A�PPlH7931'
EXPIRES Janu ry 5, 2019
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SUPERVISOR I PLANS
REVIEW REVIEW
Notary Public- State of
VEGETATION
REVIEW
REVIEW I REVIEW
RACHEL M DA
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REVIEW I REVIEW