HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED + ,,
Date: ��' a cl Permit Number: lX A-0
RECEIVED
Building Permit Application
AUG 2 9 2016
Planning and Development Services PEhN11TTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)4624578 Commercial Residential xi000cx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at.the end of line
.PROPOS ED'IMPROVENIENTLOCATION ;..
Address: l S- C.. 06 C4,-, l9
Legal Description:
Property Tax ID#: s2 3 Lot No:
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
°DETAILED D.ESCRIPTI.ON OF,W- K.
remove existing pedestal install new 150 amp meter combo pack on 2"alum strut stand
CONSTRUCTION INFO`R.MATIQN
itiona wor to. (e ne ormeunder tis perms =checka appy:
F1 HVAC L_1 Gas Tank ❑Gas Piping _Shuttersa Windows-Doors
aElectric Plumbing, Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
J��� U��
Cost of Construction:$ . 4yy Utilities:Ehewer Septic Building Height:
01NNER/L8SEE: CONTRACTOR:
Name Name: John R Law
Address: Company: Law's Electrical Service Inc
City: Nva State: A�� Address: 5158 NW Primm St
Zip Code: O�2-7 t-/2 Fax: City: PT ST Lucie State:FL
Phone No. JrU S/ a.5,6 6 o Zip Code: 34983 Fax:
E-Mail: Phone No. 772370 4357
Fill in fee simple Title Holder on next page(if different E-Mail;lohnlaw5158@'aol.com
from the.Ownerlisted above) State or County License: 29432
If value of construction is$2500 or more,a RECORDED Notice of'Commencement is required.
SPPFlEiVt€NTAC CQNSTRUGTtC3N LIEN.LAW NFORMATiCEN
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 nil 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`Horrie Owners Association rules,bylaws,or and covenants that may restrict,or prohibit such
structure.Please consult witlryour Home Owners Association rand review yo&deed for any restrictions which may apply.
In consideration`ofthe grariting;of this requested permit,I do herebyagree that]will,in,all respects,,perform the work
in-accordance with the approved plans,the Florida Building.Codes_and St.Lucie'Gourity 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:Yiaur failure td RecoM a Notice-of Commencement may result in your-paying.tWice for
improvements to:your property:A Notice of Commencement•mustbe recorded and posted on the jobsite
before the first inspection.If,.you intend.to obtain financing,conStilt With lender or an attorney befet e
commentingwor r recordin our Notice of Commencement.
S
Signature Owner/Lessee/Agent Signatur 'Contractor/License Holder
STATE OF FLORI STAT(F FLORIDA .
COUNTY OF xc—)8 COUNTY OF
The fo�r oing in nt was ack owledged efore me The forgoing instru nt was ack owledged before me
this dl flay of 20bq this o1da of l4 20 by
(2 S
(N me of person acknowledging) (Name of person acknowledging)
(Signature.of Notary Public-State of Florida') (Signature of-Notary Public-State of Florida)
Personally Known •V OR Produced Identification Personally Known LZOR Produced ldentification
Type of Identification Produced Type of identification Produced.
Commission/� �[No. ANNE BROW No•
1 l�7 � r My COMMISS1 N#F,FOW63 r �l! 1E' a ''r• - ANNE BROWAI.ft
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taa�i saao,sa. aiorkaaNemnyservka com .;?� EXPIRES April !.,21?
Revised 07/15/2014 t4a sssoi �nse *.Coin
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