HomeMy WebLinkAbout1074 nettles permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential )0000999r
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: l b 7 `f /i/ti &/-r.
Property Tax ID p: SO (- 1 1- 67 a - S 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 _ Gas Tank _ Gas Piping Shutters —Windows/Doors
_ Electric _ Plumbing _Sprinklers — Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
a�
Cost of Construction: $ /,%GU Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name C . 's . « dHe 0— 1 e w
Name:John Law
Company:Laws Electrical Service Inc.
Address:5158 NW Primm St
Address: 7A 9 /1/-c
City: S row r r► {3 r� 4, State: C-2
Zip Code: 3 C/ 9 S7 Fax:
Phone No. l " & a 7 4-11 — a -7
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-Maiijohnlaw5158@aol.corn
State or County License EC 13006370 29132
If value of construction Is $200 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:
Name: —
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not
Name:
Address:
City:
Zip; Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to ao Erie warn of U ,,,.a �•-�• -•
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
All f Commencement
commencen ork or recor INce o n our o
�
o
z_
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 1Zday of_"A 9 20..g_(by
this)_:I_dayofrl'14j,�j 20,24 by
Name of person king statement
OR Produced Identification
Name of person m;king statement
Personally Known , i' OR Produced Identification
Personally Known
Type of Identification
Type of Identification
Produced
Produced
to,Notary Public State of Fionda
(Signature of Notary Public State o
.g RACHE,.
DAVIS
Commission No,' -rV YY�" ` az MYCOIAMISS10
eq? f EXPIRES Janu
� No
ry 5, 2019 ' i FiACHEL M DA
�'- `"..r •
MY COMMISSION #FF 1
149n 388-0163 Porioallotary
nie -mrn
SJanuary 5,
REVIEWS FRONT ZONING SUPERVISOR
PLANS VEGETATION �0
REVIEW REVIEW
COUNTER REVIEW REVIEW
REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17