HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J j
Date: "G�' I SCANNED Permit Number:
St. Lucie County
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 xxxxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED; IMPROVEMENT LOCATION:
Address: 10725 S OCEAN DR 404
Legal Description: HOLIDAY OUTAT ST LUCIE-SEC B BLK Q LOT 8 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS (OR
h
Property Tax ID #: 4511-502-0125-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTION OF WORK: III
remove existing pedestal. install 150 amp meter combo service mounted on 2" strut stand
CONSTRUCTION INFORMATION:
I Iona wor to ue a orme under t—checkispermit a apply:
��E1HVAC E] Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
RiElectric 0 Plumbing Sprinklers Generator E]Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 1,400-00
S Ft, of First Floor: _
Utilities:12Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Maryann P Marrotte
Name: John R Law
Address: 10725 S Ocean or Lot 404
Company: Law's Electrical Service Inc
City: Jensen Beach, State: FL
Zip Code: 349-97 Fax:
Phone No. 229 3929
Address: 5158 NW Pdmm St
City: Pt St Lucie State: FL
Zip Code: 34983 Fax:
Phone No. 772 370 435
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: johnlaw5158@aol.com
State or County License: 25284
it vame or consirucnon is>nzuu or more, a neLUKueu notice at Lommencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW_INFORMATION:
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State: _
City:
Zip. Phone:
State: _
FEE SIMPLE TITLE HOLDER:.
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
51L Lucie coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con list with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
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 approvedplans, 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
Signatu of Owner/Agent/ Lessee Signat of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDY^
COUNTY OF `(� o� t C' . COUNTY OF lot' \ fJ
The forgoQing inst ent was acknowledged before me The forgping instrument was acknowledged before me
this Z�dayof -pLPrr �� 2014 by this2h ayof_��PE-2v-�.bya`,2014 by
—::s:— N ?,. ,. L-qW
(Name of person acknowledging ) (Name of person. acknowledging)
(Signs u�re of Notary Public -State of Florida ) (Signature o Notary Public -State of Florida )
Personally Known OR Produced Identification _ Personally Known OR Produced Identification
Type. of Identificati n Produced Type of Identification Produced
KATMRYN BUMBERA THRYH BUMBERA
Commission No. `=�6 133133 NO)rARY PUBLIC Commission No.Ea22 f TI'�1fUBLIC
aJ' STATE OF FLORIDA o9 STATE OF FLQAIDA
Revised 07/15/2014 ewe Exires 3/wlY018 14 E)Vres
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VEGETATION
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INITIALS