HomeMy WebLinkAbout2135 nettles permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I /�— Permit Number:
J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 trrgiaia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X10°°°°°r
PERMITTYPE:
PROPOSED IMPROVEMENT LOCATION•
Address: A I ?S /V, )Y/r, R I v�
Property Tax ID#: j-c,,X- Sol ` G/ 3?" OUO - '7
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
X Electric _ Plumbing _ Sprinklers —Generator _ Roof Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ .2 GGy Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name psF✓i d-hrvrn(ro`lrtt/e /it
Name:JohnLaw
Company: Laws Electrical Service Inc.
Address:5158 NW Primm St
Address:(�S )-/f 91:z�g CT 1-19 W/ h�
City: Cl-el r &- Ile- State:
Zip Code: `(3 G3 G / Fax:
Phone No. / /'/ - 0' 5 / ` 7 _ Zq
E-Mail:
City: Pt St Lucie State: FI
Zip Code: 34983 Fax:
Phone No 772 370 4357
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-MaiUohniaw515BOaoi.com
State or County License EC 13006370 29432
If value of construction Is $2500 or more, a RECORDED Notice of commencemem is rayuif
if value of HVAC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN
Name:
Address:
City- State:
Zip; Phone
SIMPLE TITLEHOLDER. _ Not Applicable
Name:
Address:
city.
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address: State:
City:
Zip: Phone:
BONDING COMPANY: _Not
Name:
Address:
City:
Zip: Phone:
to obtain a permit to do the work and installation as indicated.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made
1 certify that no work or installation has commenced prior to the issuanceofa permit.
Si. Lode CouotylC an ti any representation that
Owwners Assocpationrtrules. by or and covenants at may restrict or prohil� such
whic 1s in toorn+flfl
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
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this � day of -'3-,4-26�y
Name of person m king statement
Personalty Known OR Produced Identification
Type of Identifkation
Produced
Public- State o
IS"--:wk- RACHEL
Commission No.-''; MYCOMM
EXPIRES
REVIEWS I FRONT ZONING
COUNTER � REVIEW ' REVIEW SUPERVISOR
Rev.
STATE OF FLORIDA
COUNTY OF
The forggo�ing instrument was acknowledged before me
this if day of 7 sa 2q% by
Name of person making statement
Personally Known OR Produced identification
Type of Identification
Produced
"I"Utml f '"r"�s RACHEL M
5, 2019 .`; MYCOMMISSION
PLANS I VEGETATION
REVIEW REVIEW