HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �'23 LQ Permit Number:
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Planning
Building Permit Application MAY J-1 2016
and DevelopmentServices
Building and Code Regulation Division PER[vilTTj,�eSt. Lucie Cou;,t;
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential _
PERMIT APPLICATION FOR:
.PROPOSED IMPROVEMENT LOCATION
Address: !U 7 1 S_ f. O /L j�t
Legal Description:
Property Tax ID#: � 5^// - S-U.� - O(, jZ—UGa - C7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK -
remove existing pedestal install new 150 amp meter combo pack on 2" strut stand
CONS--RUCTION INFORMATION
Additional work toe performed under this permit—check all that appy:
HVAC 0 Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Z✓ Electric F]Plumbing []Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
C,11Cost of Construction:$ �/ Utilities: Sewer 1 Septic Building Height:
OWN ER/LESSEE CONTRACTOR=:
Name Name: John R Law
Address: D 1/ Go 61, /, Company: Law's Electrical Service Inc
City: C,-r t State:/'/I- Address: 5158 NW Primm St
Zip Code: Fax: City: Pt St Lucie State:FL
Phone No. 2 1C 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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name-
' Address: Address:
City: State: City: 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: — - - - -- ---
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
commencing work or recordina vour Notice of Commencement.
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_Signatureo caner/Lessee/Agent Signature o ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF _ ���� COUNTY OF c �l
Ther oing instru ent was a knowledged efore me The forgoing instrument was acknowledge efore me
this ay of 20by thisC�ay of 20 by
(Name oferson acknompti iii" - __
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(Sig;, t re of No Public-State of Florida) ( @nature of Nota Public-State of Florida)
P. rso RY Produced Identification Personal) Known OR Produced Identification
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e of�1 lif
ti n Produced
P _ IQlbublic 7 _.
tom Stat Asa...F:;
rnisslo e of Flo . ANGEL
Commission RIo_;,,,.,.. n#'Cr Florida eal) Commis-on�f( r. A M : Seal)
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_ --Revised 07/15/2014
!RyAssn.
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW_____.
DATE ---- -- --
COMPLETE
[INITIALS