HomeMy WebLinkAbout1287 nettles permit.pdfAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '� Permit Number: _
J
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X)DODDoo'
PERMIT TYPE:
PROPOSED IMPROVEMENT LOCATION:
Address: /oZ. 9-% /4
1Y7711r-r IfIvf"
Property Tax ID #: yrC/ ';I, - .-U / - / Y -7Y O :00 - / Lot No.
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
CONSTRUCTION INFORMATION:
Block No.
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _Shutters -Windows/Doors
Electric _ Plumbing —Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 02 G U cJ Utilities: _Sewer _Septic Building Height:
Pitch
OWNERAESSEE:
CONTRACTOR:
Name f3 rAn We v, /094m
Name:John Law
Address: / `/ 2/1 C -4 M �e rX✓l C
Company: LaWs Electrical Service Inc.
Address:5158 NW Primm St
City: Gr •g rr / //A yr n State: !21F
City: Pt St Lucie State: Fi
Zip Code: 1/ ®1 4Y1 7 Fax:
Phone No._/— 4/ u s - 2 ! -7 6 S a
Zip Code: 34983 Fax:
Phone No 772 370 4357
E-Mail:
E-MaiUohnlaw5158gaol.com
Fill in fee simple Title Holder on next page ( if different
State or County License EC 13D06370 29432
from the Owner listed above)
If value of construction Is $2500 or more, a RECORDED Not or commencement m ickpi ea.
If value of HVAC Is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.
DESIGNER NGINEER:
Name:
Address:
City:
Zip: Phone
_ Not Applicable
State:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
Address,
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
City:
Z{p; Phone:
__J �anii�tinn ec indir•otPli
Zip: Phone•
OWNER/ CONTRACTOR AFROViT: Application is hereby made to obtain a permit to dothe worn aria — •• - __---
i certify that no work or installation has commenced prior to the issuance of a permit.
St. L4i��cie Counttyy makes no repre staation that is granting a permit lit autporize the permit holder to build the subject structure
whlch is in confltct wi h any appll�ca�le Home Owners Association rues, bylaws or and covenants that may restrict or prohibit such
structure. Please consult th your Home Owners Association and review your deed for any restrictions which may apply,
iIn consideration of the n accordance with the approve pans, the nting of this Floridated u lding CodesandSte Lucie county Amendn all ments.
The the work
w: room
The following building permit g applications
walls, signs, re ne exempt from rrooms and accessory oing a full uses toanothernon-fires dential use
accessory structures, swimming 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
as
STATE OF FLORIDA
COUNTY OF
The forgoing Instrum t s acknowledged before me
thlsday of � aa326y
Name of person milking statement
Personally Known �.OR Produced Identification
Type of identification
Produced
of Notary Public -
Commission No. V T
REVIEWS FRONT I ZONING
COUNTER REVIEW
Rev.
STATE OF FLORIDA
COUNTY OF
The forgoing instru t was acknowledged before me
this .eL day of 20 -2by
Name of person making statement
Personalty Known OR Produced identification
Type of Identification
Produced
bf Notary Public- Si
RACHEL F4 OAVtS _
EXPIRES Janu*ry 5, 2019
SUPERVISOR PLANS VEGETATION
REVIEW REVIEW REVIEW
RACHEL M
MY COMMISSION