HomeMy WebLinkAbout725 nettles permit.pdfAll APPLICABLE JNFP MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � Permit Number:
Building Permit Application
Planning ona ueveiopmenr Wvxes
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34M Residential xxxxxxxx
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:
_PROPOSED IMPROVEMENT LOCATION
Address: 'Z . / 'c ^ _ � , I, . c, / / — 0 0 c, - Cl) Lot No.
Property Tax ID #:
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
_[,Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: —
J
Cast of Construction: $ �
Utilities: _Sewer —Septic
I OWNER/LESSEE:
Address: PC) SOX-
City: Plr- O State: �u
Zip Code: Gl 6 `17 U Fax-
f7
E-Mali:
Fill in fee simple Title Holder on next page (if different
from the owner listed above)
CONTRACTOR.
Name:jLj 11! Ld:^i
oln�!, Nn
Windows/Doors
Roof Pitch
Building Height:
Company..Law's Electrical Service Inc.
Address:5158 NW Primm St
City: Pt St Lucie State: FI
Tin Cnda 34983 Fax:
Phone No 772 370 4357
E-M aiilohniaw51580aol.corn
State or County License EC 43006370 29432
oernnncn nfnrirn „f r,mmenramAM is rev
ei v8idc tifw ii iir. . tip...... �• •-''
if value of HVAC is $7,500 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: State:
City:
Zip: Phone:
BONDING COMPANY: _Not
Name:
Address:
City:
Zip: Phone:
OWNER( CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representationblntthe t Isgrantingas permit ion wiilll authorize t heger a ants that mayr the
trictt or pro structure
such
whkh is in con act with any app iaY
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration 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
_s r....... ,amant_
as Agent for Owner I Signature
STATE OF FLORIDA
COUNTY Of
The forving instrument was acknowledged before me
thisI_dayof OG{ 2aSli by
Name of person m king statement
Personally Known OR Produced Identification
Type of identification
Produced
of Notary Public- State o b "rdtej
/0:-"-'fi.. RACHEL
Commission Nc. ` w�ilal` MY COMM
4;drF•`� EXPIRES
REVIEWS I CFRONT I ZONING OUNTER REVIEW l SUREVIEV�IySOR
Rev.
STATE OF FLORIDA
COUNTY OF
The forfying instrument a acknowledggbefore me
this I day of
Name of person making statement
Personally Known 1 Z OR Produced Identification
Type of Identification
Produced
Ut Notary Public- State of
DAVIS
SpitsityAjoc i No
ry 5. 2019
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PLANS VEGETATION
REVIEW REVIEW I RE\
RACHEL M
MY COMMISSION