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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f Date: .� 6 Permit Number: �U —04< Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34981 Phone:(772)462-1553 fax:(772)462-1578 Commercial Residential PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line PROPOSED IMPROVEMENT LOCATION Address:–.10 7A S S G of-G. eJ C C_-4 1,n all– It9t:7 IRI -51- Legal RI .SrLegal Description: Property Tax ID#: yam! t -So C1 4/ - GG o - 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 CONSTRUCTION INFORMATION - . - Additionalwork to be performed under t is permit–Mek all tha appy: HVAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors Z Electric FIPlumbing E] Sprinklers Generator Roof Total Sq.Ft of Construction: S Ft.of First Floor: Cost of Construction:$ .SG U Utilities: _Sewer l:]Septic Building Height: OWNER/LESSEE CONTRACTOR ,. Name L ro e– Name: John R Law Address: /0 7,2_ S 0C e4 10it l$ `f" Company: Law's Electrical Service Inc City: Tc r lCz,1 W«cam, State: Address: 5158 NW Primm St Zip Code: Yc/Com? Fax: City: Pt St Lucie State:FL Phone No. clx& Zip Code: 34983 Fax: E-Mail: Phone No. 370 4357 Fill in fee simple Title Holder on next page(if different E-Mail: johniaw5158@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 INIF RMA ... . 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 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 recording our Notice of Commencement. s _Signatur f O ner/Lessee/Agent Signature of Co ctor/License Holder STATE OF FLORIDA ����C` �_ STATE OF FLORIDA COUNTY OF COUNTYOF ------------------- The forep�ng inst ent was acknowledg efore me The forgoing instrument was cknowledged before me this�L�ay of . 20 by this day of C�J� 20 by ©� )C\ Name o erson�CktioiNled"its'"- --------------------- - .." - --- - - -- P g g) - - - --' --• (M�i"m�o#.-pei sbn-acknowledging):- :- - _ _. . " a, (Si Public-State of Florida) (Signature of of �R � ic- `Ftarid2= • ANGELA M HUFF Not r P'Mid Persona L AMA fdentifi tion ersonally Kn• ' ' OI�� 'u��d bl9fifiaU'rbn o `d70n WRiyN Ty ssion#FF 234730 rR ••o ��yo��o . .. s ay 27,2019 _. , Commission#FF 234730 Bonded through NatronAssn. Cornmis'A. 'res May 001119 Commission No. '"� .��,:._,. . Bonded through National Notary Assn. Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW_----- DATE --- -- - COMPLETE INITIALS