HomeMy WebLinkAbout1077 nettles permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2 1I S/171 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 3498.2
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential )00000 0'
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: / 0 7% /V e, IIAZ /11 �
Property Tax ID #: L/ S 0 X - SD ! r✓ 1 & 1-1 ^ C,C' U - 6 Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
a
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
Block No.
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
Electric _Plumbing _Sprinklers _Generator _Roof
Total Sq. Ft of Construction:
Cost of Construction: $ / %oU
Sq. Ft. of First Floor:
Utilities: _ Sewer _ Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name
Name: John Law
Address: 13 & L.,,FTe a L,, eit ig A. If
Company: Laws Electrical Service Inc.
City: tip. 1L _ 204 Len IS.4-oState: 1E1
Zip Code: 2 J yyk Fax:
Phone No. 1- Sr-1- 7 0 2 - 6.2 G
Address:5158 NW Primm St
City: Pt St Lucie State: FI
Zip Code: 34983 Fax:
Phone No 772 370 4357
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Maiijohnlaw5158@aol.com
State or County License EC 13006370 29432
If value of construction Is $2S00 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
stab
DESIGNE ENGINEER:
Name:
Address:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
_ Not Applicable
BONDING COMPANY:
Name:
Address:
_Not Applicable
City:
i
Zip: Phone:
bon as indicated
Zip: Phone.
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and In a
I certify that no work or installation has commenced prior to the Issuance of a permit.
St. Lucie County makes no reaapre;;ent tion that is granting a permit will autTorite the permit holder to build the subject structure
Whiicstruc*ure can
cwith onsult unttppouci b e H me O s e sociationtendrrev ew yaou�(deed for an amy restrictnants ions such
iin consideration of the n accordance with the approve plans, the nting of this FloridaeBuilding Codesandagree LucieCounty iAmendments.
The the work
The following building permit piools,ons are exemt from undergoing a full fences, wallspsigns screen roams and accessory uses to another non-rency review! room fres non-residential use
accessory structures, swimmingg p
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
commencin-work or recording our Notice of Commencement.
�./
twi.✓cif
Signature of ntractorJLlcense Holder
Signatio of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
The forgoing instru t was acknowledged before me
s 6 2t) N by
The forgoing instrument was acknowledged before me
this day of Fes— 2U.ZZby
this � day of
F
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
Notary Public- State of Florida)
DAVIS
(Signature of Notary Pubic State o
`�{•
8 - RACHEL
Commission No. .. _ - r MY COMMI3310
j
EXPIRES Janu
5, 201
No. ' /a^ ^"
- RACHEL M DA�
t
ry
f r.i �' p,}y COMMISSION #FPs
Is07)59B-0153 F7o[idzNotd
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f i+
S January 5,
REVIEWS FRONT ZONING SUPERVISOR
PLANS
REVIEW
VEGETATION
REVIEW REVIEW RE VIEW
COUNTER REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17