HomeMy WebLinkAbout687 nettles permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� �i a f ni l Permit Number:
� J
Building Permit Application
Planning and ueveropmenr senr:ees
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 349U
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential m00222oi
PERMIT TYPE:
I PROPOSED IMPROVEMENT LOCATION:
Address:
Property Tax ID #: y So a — S"o 1— C79 7
Site Fian i iame:
Proiect Name:
DETAILED DESCRIPTION OF WORK:
Lot No.
R!C& tin
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
V�Electric _ Plumbing _ Sprinklers _ Generator — Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
6�
Cost of Construction: $ A,002 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR.
Name rn ic,N A 6 ( li- ILV♦ I - 13D L/6 h
Name:JUl rti tat•Y
Address: Ll 8 (oU 2 r-1 f '' .3va iw¢
company:LaWs Electrical Service Inc.
Address:5158 NW Pnmm St
State•
City: 14a O s c..., 11 c
Zip Code. �19'�:Lie Fax: �
City: Pt St Lucie State:FI
A R 3- 3 7 6 0
v'
711 rndP- 34983 Fax: .
No 772 370 4357
E ,
"
: M
aiY
E-Mail
Rhone
Fill in fee simple Title Holder on next page ( if different
E-Maili0hnlaw516B@aoi.com
State or County License EC 13006370 29432
from the Owner listed above)
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11 Y41LLC YI �. �i�t1Yu +YV .-v v ,
if value of HVAL Is $7,540 or more, a RECORDED Notice of Commencement is required.
S PPU L MENTAL 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
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
_ .. 1 J •JC IfAdi"tefi
OWNER/ CONTRACTOR AFFIUVI1: Appucation is nereoy mace co wiam a i•=-,—- •�
I certify that no work or Installation has commenced prior to the issuance of a permit.
the ermit holder to build the subject structure
r andpcovenants that may restrict or prohibit such
red for any restrictions which may apply.
St. Lucie Coun makes no
which is in co Act with ar
st rulure Please consult v
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 tender or an attorney before
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this aZ day of OC+ . 20AL by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
of Notary Public -
Commission No. e- a
REVIEWS I FRONT I ZONING
COUNTER REVIEW
Rev.8/2/17
RACHEL
li My COMMISSI,
`f EXPIRES Jar
53 FbntlaMntan
SUPERVISOR
REVIEW
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this Rt day of oc_-t- 20AI by
Name of person making statement
Personally Known ✓ OR Produced identification
Type of Identification
Produced
Notary Public-
5, 2019 i . 'J„ RACHEL M
l� A MY COMMISSION
PLANS I VEGETATION
REVIEW REVIEW