HomeMy WebLinkAbout481 holiday permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: s- /-? oZ I Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce F134982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 700000m
PERMIT TYPE:
I PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: s- / — -S'-0 A - G C� z 5 - O 0 0 - Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Replace Existing Meter pedestal
Block No.
I CONSTRUCTION INFORMATION: !
Additional work to be performed under this permit -check all that apply:
_Mechanical
_ Gas Tank
_ Gas Piping
_ Shutters
—Windows/Doors
_ Electric
_ Plumbing
_Sprinklers
— Generator
_ Roof Pitch
Total Sq. Ft of Construction:
a�
Cast of Construction: $ IX C" U
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name +r.
Address: / U FY L g l r e- y2 n
Name: John Law
Company:Lavrs Electrical Service Inc.
City: to State: E/
Zip Code: _1Fax:
Phone No.
E-Mail:
Address:5158 NW Primm St
City: Pt St Lucie State: FI
Zip Code: 34983 Fax:
Phone No 772 370 4357
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.
I SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to oo me warn anu
I certify that no work or installation has commencer} prior to the issuance of a permit.
St. Lucie Countv makes no representation that is granting a permit will authorize the permit holder to build the subject structure
swhich istructurePlease to cconisult any
with pyourr Hlome Owners Associwners ation Association
your deed and covenants
any restrictions may
hich may arestrict or. prohibit such
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
f C encement
commencin ork or recordingour Notice o omm
SignatuA 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
by
The forgoing instrument was acknowledged before me
this day of i� 20.E by
this J 7 day of _& 4 .20_`,.(
Name of person making statement
Personally Known OR Produced Identification
Name of person mjiking statement
Personally Known /' OR Produced Identification
_
Type of Identification
Type of identification
Produced
Produced
f Notary Public State of Florida )
(Signature of Notary Public State o
CHEL
DAVIS
Commission No. T \< , : >' OMMisslO
730"153
ifRlfll 0NO
RACHEL M DA
RES Janu
ry5, 2°79
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oridaNNary
roice.com
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January 5,
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION 116hlAYfea.
REVIEW REVIEW REVIEW
COUNTER REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17