HomeMy WebLinkAbout94 nettles permitAll APPLICABLE I FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U ? Permit Number:
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• Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: IC-/ [�/�G N�r� 964
Property Tax ID #: ! - G 2, O O O - -7 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: $ / % 5-a
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name tZ 16 i � h a l -"l Vwzo e z
Name: John Law
Address: 7 (p 1 7 L r, �v r % L,- -
Company: Laws Electrical Service Inc.
City: kor ( o ., State: -2yAddress:
Zip Code: ciY S"! N- 2
Phone No. l ' ��G ' 1 `7,F - /CVfi t -J
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:
7
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
Address:
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 Counttyy 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
STATE OF FLORIDA
COUNTY OF
Notice
au�1
as Agent for Owner Signature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
thisdayof GGj 20�/by this1edayof OG/ 203Q b4
Name of person making statement Name of person making statement
Personally Known OR Produced Identification Personally Known � OR Produced Identification
Type of Identification Type of Identification
Produced Produced
,
I /
of Nota Public- St
(Signature of Notary Public- State o n'
RACHEL DAVIS _
Commission No. �! \;-'—i 's?� - MV COMMISSIO fMiWo No.
'�,;N�;nJ;'' EXPIRES Janu ry 5, 2019
(407) M14150 Florioallotary INIMCom
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
COUNTER REVIEW REVIEW REVIEW REVIEW
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of Florida )
REVIEW I REVIEW
RACHEL M DA
1
My COMMISSION #FFA
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January 5,9
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REVIEW I REVIEW