HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 99
Date: 8/10/15 Permit Number:
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RECEIVED
Building Permit Application AUG I I. 2015
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St.Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential xxxzxxxi=
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDu1, VEMENT LOCATION„ ;,.
Address: 10725 S OCEAN DR 456
Legal Description: HOLIDAY OUT AT ST LUCIE-SEC B BLK O LOT 2 AND EQUAL PRO-RATA INTEREST IN COMMON ELEMENTS(OR 3681-2657)
Property Tax ID#: 4511-502-0072-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK
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remove existing pedestal. install 150 amp meter combo pack on 2" strut stand
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CONSTRUCTION INFORMATION
Additional wor toe Dertormed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric 0 Plumbing Sprinklers F]Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 1,500.00 Utilities.. Sewer R Septic Building Height:
OWNER/LESSEE CONTRACTOR
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Name Pier Brown Maureen E Brown Name: john law
Address: 10725 S Ocean Dr Lot 456 Company: laws electrical service inc
City: Jensen Beach, State: FI Address: 5158 nw primm st
Zip Code: 34957 Fax: City: Pt st lucie State:fl
Phone No. 229 1522 Zip Code: 34983 Fax:
E-Mail: Phone No. 772 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail: johnlaw5158@aol.com
from the Owner listed above) State or County License: 25284
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'xSU 'PLEMENTAL CONSTRUCTION;LIE'N LA17V°INFORMATION y
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
clty:- State: --
Zip: Phone: Zip: - Phone:
— FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable_
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict 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 thatl 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 attorneybefore
commencing work or recording our Notice of Commencement.
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- --Signator_ of Owner/lessee/Agent-= - -- - --- - - Signature of.0 tractor/License.Holder
STATE OF FLORID STATE OF FLORIDA-
-COUNTY OF COUNTY OF '-
The forgoing"his menti was acknowledge efore me The forgoing instrument was acknowledged
this day of 201 by this day o 20 )--)_by
(N of.person acknowledging) (Na of person acknowledging).
ignatl6re of Notary Pu
blic-Stat of Florida) gnat a of Notary Public- ate a.Plorida)
Personally Known OR Produced Identification Personally Known.- OR.P_roduced Identification -
Type of Identification Produced Type of Identification Prpduced
��I AH A•INGRAM
Commission No �.m►r„ Commission No. �,,_ Nogruc State of Florida
NNA INGRAM r
Notary Public-State of Florida My Comm.-Expires Dec 20,2018
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Commission ;r! FF 17724
�''t ��VOF� Bonded through Nation��Notary Assn.
Revised 07/15/20
`Bonded L.
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REVIEWS FRONT ZONING SUPERVISOR (PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS