HomeMy WebLinkAbout438 nettles permit.pdfAll APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
• Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34981 Residential 1
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
DPORAIT TVDF-
Address:
IMPROVEMENT LOCATION:
PJ
Property Tax ID d: '-IS-O ? — -51�' 1 — U & A, c i O o ° i
Site Plan Name:
DETAILED DESCRIPTION OF WORK:
Replace Existing Meter pedestal
rnArcTor lrTinAl ImCnORA ATInAI
`y:
Additionai work to be performed under this PermiL— Li t!a all a14L a-NN
Mechanical _ Gas Tank _ Gas Piping
i/ E!ert i, _ Pit Tmhine
Total Sq. Ft of Construction:
rr'
Cost of Construction: $ 15t
OWNER/LESSEE:
i SnrinklPrc
_ Shutters
Generator
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic
Address: �i iL l 3 3 r✓ '1-r,et,-1 /i/o/-(-r+
City: ^i PA�lrn 1�riicG State:_,[
Zip Cade: 1 � c7 // Fax:
Phone No.
E-Mail:
Fill In fee simple Title Holder on next page ( if different
from the Owner listed above)
CONTRACTOR:
Lot No.
Block No.
Windows/Doors
Roof Pitch
Building Height:
Name: John Law
companvLaw's Electrical Service Inc.
Address' 5158 NW Primm St
Ci+y:
Pt St Lucie Mate: F!
onnvo -
Lip t-ode: Con.
Phone No 772 370 4357
E-MaiiJOhrlawb'5t5@aoi.com
State or County License EC 13006370 29432
if value of construction Is $2S00 or more, a RECORDED Notice 01 Gommencemeni is required.
if value of HVAC is $7,5W or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: j
Name:
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
Name:
Address:
City:
Zip: Phone:
._.1, .._.1 In Holletinn ]c indirntPri.
OWNER/ CONTRACTOR AFFIUVI I : Application is nereoy mane LU vuicm a V= - -- - - - - —
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Counttyv makes noVrepresentation that is granting a permit will authorize the permit holder to build the subject structure
structure. cture. Please consult withpyour Homeownersowners Association andrreview your or
or any a tr'dons wrestrict
ich may approhibit 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
commencin Ork or recording Our Nonce CA lAr l!!M!
cnicr,�.
f
Signature of ontractor/License Holder
signal of Owner/ Lessee/Contractor as Agent for Owner
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
thisX_dayof SeoT 20� 6y
this 21 dayof�,1- _,ZO2s,
Name of person TJaking statement
Personally Known r OR Produced Identification
Name of person milking statement
Personally Known OR Produced Identification
_�
Type of Identification
Type of Identification
Produced
Produced
of Notary Public State of Florda )
(Signature of Notary Public State o
RACHEL
DAVIS
Commission No �s S ,\ MY coMMissio
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ry 5, 2019
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S January 5.
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION BVEe.
REVIEW REVIEW REVIEW
COUNTER REVIEW REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17