Loading...
HomeMy WebLinkAbout207 nettles permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 6 1A� Permit Number: 6 ... Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce Ft 34982 Phone: (772) 462-1553 Fax: (7721462-1578 Commercial Residential "xnA"x PERMIT TYPE: I PROPOSED IMPROVEMENT LOCATION: i Address: Property Tax ID #: L71 S' a'L - -5-0 il - G 3 q 3 ~ D !J G ^ -2 - Lot No. Site Plan Name: Project DETAILED DESCRIPTION OF WORK: Block No. Replace Existing Meter pedestal CONSTRUCTION INFORMATION: Additional work to be performed under this permit- check all that apply: _Mechanical �GasTank _Gas Piping _Shutters _ Windows/Doors Electric _ Plumbing _ Sprinklers — Generator —Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ )(o-7C Utilities: —Sewer _Septic Building Height: OWNERAESSEE: CONTRACTOR: Name &v I .4 7 r .c) Address: / f 3 F-,q ..✓ 1 r R. City: _i'yt r4 t r State:, SU Zip Code: /�/ S-Fax: Phone No. S.VS- 7 90- (j (0 2 3 Name:,iohn Law Company: Laws Electrical Service Inc. I Address:5158 NW Primm St I City: Pt St Lucie State: Fl 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-Mail johniaw5158@aol.com State or County Ucense EC 13006370 29432 if value of construction is $2500 or more, a RECORDED Notice of Commencemena Is require©. If value of HVAC Is $7,SGO or more, a RECORDED Notice of Commencement is required. I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable Name: Name: Address: Address: Zip: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and instaitation as Inoicatea. 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 commencinwork or recordin our Notice of Commencement. �Y Signat of Owner/ Lessee/Contractor as Agent for Owner Signature of ontractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this-dayof Aa. 20. 6y this_.F- day ofe�Q "1 .20 LJ by Name of person mpking statement Name of person king statement Personally Known OR Produced Identification Personally Known OR Produced Identification _I Type of Identification Type of Identification Produced Produced i t�ex (SIgn�Notary Public State o f Notary Public State of Florida) RACHEL DAVIS Commission No. \r. apt ''- MYCOMMISSIO S P"#*§i i No t" V s",pe RACHEL EXPIRES Janu ry 5, 2019 y M DAt (607) 799-0159 Floridallotary 'z MY COMMISSION#FFi Nice.com "5-. •,, Via,..," 1 S January 5, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION htiliEe.� REVIEW REVIEW COUNTER REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.8/2/17