HomeMy WebLinkAboutBuilding PermitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _ 41A2 ! A I
Permit Number:
Building Permit Application
Planning and Development Services
Building and Lode Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxxxx
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: /U 7R 9- C QC vA., a, J; .3 I
Property Tax ID #: yS// - S`O /— /2b 3 7 ^ O uu _ 9 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:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
0
Cost of Construction: $ '. / b d
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq, Ft. of First Floor:
Utilities: —Sewer _Septic
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Y►i i Auna Cc.r,.,,l
Name: John Law
Address: / 0 7z S S. at l,sn 174 J# 3l
company:LavVs Electrical Service Inc.
Address:5158 NW Primm St
City: i{ s f a 13e.4 c L, State: L
Zip Code: 9.5-7 Fax:
Phone No. 7 7 ;t ? 4a — 1Y.?oc
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-Maillohnlaw515B@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 $7400 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
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 ano 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
commencine-nrork or recordine vour Notice of Commencement.
of
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this .2 day of T*n , 20_Z& by
Name of person Viking statement
Personally Known OR Produced Identification
Type of Identification
Produced
of Notary Public -
Commission No. '� V-
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Rev.8/2/17
Z' go � � "�- - � -
Signature of ontractor/License Holder
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this _ day of 20_ by
Name of person 5taking statement
Personally Known _,,R Produced Identification
Type of Identification
Produced
f Notary Public- State of Florida )
RACHEL N DAV�IS
My COMMISSIO rAppyrt No. 7 ` -' • • "—"—�
wr<'
EXPIRES.Ianu Lry 5, 2019 a°O. RACHEL M
MY COMMISSION
SUPERVISOR I PLANS I VEGETATION
REVIEW REVIEW REVIEW