HomeMy WebLinkAboutventure A 14 permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G / & Permit Number:
BuildingApplication
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxxxxx'ac
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: -17 7 S1 S 0C ! A V% VJ i2 # /7 ' 1 I
Property Tax ID#: 4-1.�'l J- .3 11 - OO (g- C,106, -�
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
VElectric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: —
v.
Cost of Construction: $ %bd Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNERAESSEE:
CON TRACTOR:
Name 4 bs
Name: John Law
--140
Address: / 3 n A v-t H Sfi
Company: Laws Electrical service Inc.
Address:5158 NW Primm St
City: &4 s 0 v.a State:
Zip Code: G 9 06 U Fax:
Phone No. )- (7 I7 S ` R - ka S cl L
City; Pt St Lucie State: FI
Zip Code; 34983 Fax:
I Phone No 772 370 4357
E-MaiUohnlaw5158@aol.c0m
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
State or County License EC 13006370 29432
J
If value of construction is $2500 or more, a RECOROW notice oT t.ommenceoam", =y=••=-•
If value of HVAC is $7,SW or more, a RECORDED Notice of Commencement Is required.
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:
o4 innneatinn as indicated.
OWNER/ CONTRACTOR APHLIV11 : Application is nere°y ma c . o r-. ••••- -- -- ---
1 certify that no work or installation has commenced prior to the Issuance of a permit.
St. L4tie Counttyw makes no represe Cation that Is granting a permit will authorize the ermit holder to build the subject structure
which is in co i Ict with any applica3 tte Home Owners Association rules, bylaws or andpcovenants 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 wort:
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
as Agent for Owner I Signature
STATE OF FLORIDA
COUNTY OF
The forging instrument was acknowledged before me
this_Ldayof Oc-of 20fAtt by
Name of person mitking statement
Personally Known OR Produced identification
Type of identification
Produced_
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(Signature of Notary Public State
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REVIEWS
FRONT
ZONING
COUNTER
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
FIACHEL
MY COMMISSI
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FioridtNcY2n
SUPERVISOR
REVIEW
STATE OF FLORIDA
COUNTY OF
The for tic, instrument was acknowledged b� re me
this lreday of
Name of person making statement
Personally Known _/ OR Produced Identification
Type of Identification
Produced
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bf Notary Public- State 01
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PLANS I VEGETATION
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