HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: / /6/ AL Permit Number:
dOONSWEENIONIMM
,J i
somwaymmusamwAmmm Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential xn-,O000r
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: /0 70 / -�-- cc, " t) rL L# % L/J
Property Tax ID #1: y S / / - .5'0-r - O/ h' 4Y - 0 0 0 - 3 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
6
6 7-'Fr
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical
(/Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ / iUd "
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
Utilities: —Sewer _Septic
Block No.
Windows/Doors
Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name S41--Vrr-, rP2Cn-4a2A'
Address: 701 S. Oc<y 19n At 7`/3
Name: John Law
company-Law's Electrical Service Inc.
City: 7e"3 c .. a:4g 4, State:�a
Zip Code: 3`/�l� 7 Fax:
Phone No.
E-Mail:
Address:5158 NW Primm St
City: Pt St Lucie State: Fl
Zip Code: 34983 Fax:
Phone No 772 370 4357
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Maiilohnlaw515B@aol.com
State or County License EC 13006370 29432
if value of construction Is $2Stio or more, a RECORDED Notice of Commencement is requirea.
If value of HVAC is $7,S00 or more, a RECORDED Notice of Commencement is required.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtam a perms w -.� - - -------
t certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no repr licall leiHothat wnnerss Association�rules,bylaws or and covenants that maydrestrictbor prohibit structure
which Is in conflict with any npp
structure• Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paYIng twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. if you intend to obtain financing, consult with lender or an attorney before
rnmmencine work or recording your Notice of Commencement.
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this dayof 20 2by
Name of person making statement
Personally Known OR Produced identification
Type of identification
Produced
(5lgnatune of Notary Public- State
Commission No. V i l � ->'`.
REVIEWS
Rev. 8/2/17
FRONT I ZONING
COUNTER REVIEW
STATE OF FLORIDA
COUNTY OF
The forggoing instrument was acknow� dged before me
this /_ Y day of -_
Name of person making statement
personally Known OR Produced Identification
Type of Identification
Produced
bf Notary Pubnc
RACHEL M DAVIS _
MY COMMISSIO No. -
J.
EXPIRES Janu$ry S. 2019
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW i REVIEW
lei
REVIEW
RACHEL M
MY COMMISSION