HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _ II__
Date: Permit Number: is-it '�6b
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 xxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSEDIMPROVEMENT LOCATION
Address: 3110 N C-fel-0 I v
Legal Description:
Property Tax ID#: L-1 `0 19- .S0 1 G DU U Y Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK '
remove existing pedestal. install 150 amp meter combo on 2" strut stand
CONSTRUCTION]N.FORMATIOW .
Additional work toflasTank
Orme under this permit—c ec a appy:
❑HVAC ❑Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 1,500.00 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE '' ;' ` CONTRACTOR
Name k �� G,u M 10,; Name: John R Law
Address: 0 l3Uk �o S U Company: Law's Electrical Service Inc
City: 1'f q WA ss �C_ State: 64 Address: 5158 NW Primm St
Zip Code: 30-5_L/Jo Fax: City: Pt St Lucie State:FL
Phone No./- `/o L! 3 K — G S- 2 Zip Code: 34983 Fax:
E-Mail: Phone No. 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: 29432
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SU'P,PLEMENTQLCONSTRUCTION LIENyL WINFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I 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 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
commencirjg work or recording our Notice of Commencement.
lo s
Sig ture of Owner/Lessee/Agent Signature of tractor/License Holder
ST/ATE OF FLORIDA,, STATE OF FLORIDA
COUNTY OF e.o COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of201S-- by this day of ,20 '1� by
-3s�-4' Lc'� 7l�n Lo
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-SNte of Florida) (Signature of Notary Public-4;tpl orida)
Personally Known® OR Produced Identification Personally Known OR Produced Identification
Type of Identification Prod ce — '7Type of Identification Produced
n LASHAHNA _
"a "B�;'- blit State of Florida ommission No. ,,,•�� ,, ( AHNA INGRAM
Commission No. ° No(1$WI ',_°� r�#� Nolayblic State of Florida
My comm.Expires Dec 20,201 fires Dec 20,2018
commission#FF 177249 ; My Comm.Exp
Bonded through National -N o:
o ;;° Bonded through National Notary Assn.
Revised 07/15/2014,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS