HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 5/16/16 Permit Number: (^
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 xxxxxxxx Residential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 3221 S US HWY 1
Legal Description: MARAWLLA GARDENS SIDUWT THREE-PART OF LOTS 184 AND 188 MPOAF.BEG AT[NT OF N RM TANGELO TERR AND E RMI MAYFLOWER RD,TH ELY ALG SD N RNV 883.49 FT,TH NLY/I TO MAYFLOWER RD 217Fr.TH WLY O TO N LI
Property Tax ID#: 2427-601-0066-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'DETAILED DESCRIPTION"OF WORK:, '
/
remove existing 4 gang meter bank and disconnects install new meter and disconnects
AT 1 3, 5, 7 temple ave
CONSTRUCTION INFORMATION
Acid itional work toe e orme under this permit—check a appy:
❑HVAC E]GasTank Gas Piping _Shutters aWindows/Doors
Electric 1:1 Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S of First Floor:
Cost of Construction:$ 2,200.00 UtilitiesInSewer[]Septic Building Height:
OWNER/LESS,EECONTRACTOR:'
Name Claudia Z Sargent(TR) Name: John R Law
Address:465 SE Naranja Ave Company: Law's Electrical Service Inc
City: Port St Lucie State:FL Address: 5158 NW Primm St
Zip Code: 34952 Fax: City: Port St Lucie State:FL
Phone No.772 201 1610 Zip Code: 34983 Fax:
E-Mail: Phone No. 370 4357
Fill in fee simple Title Holder on next page(if different E-Mail: johnlaw5l58@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:
DESIGNER/ENGINEER: _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 1 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 workw recording our Notice of Commencement.
_Signature;Los
ner/lessee/Agent Signature of C actor/License Holder
STATE OFIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The f rgoing instrum nt was acknowledg94Aefore me Ther ing instrurrm nt was acknowledged before me
this ay of 20by this Qay of 20 LOF by
h0)0_z�\ -
1 of person atkffowledgieg-)-- (Nem-e o --pers n-acknowledging
vY
taryP blic-State of Florida) Notary blic-Sta a of Florida)
LPersonally Known OR Produced Identification Personally Known OR Produced Identification
of Identification roduced a of Identificat' n Produced
Commission No_ (Seal) Commission No. (Seal)
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
__ COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW_______
DATE --- - --
COMPLETE
INITIALS