HomeMy WebLinkAboutBuilding Permit Applicationi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /' J Permit Number: JV`'
y �, ECL Vr
111 gOWN
Building Permit Applicati®n AUG 2 9 2016
Planning and Development Services PERF& T TING
Building and Code Regulation Division St. Lucie County, FL
230UVirginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential )qxxxx
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPRiVEM.ENT LOCATION
Address: / ��,,2 JV G 1-N T✓
Legal Description:
Property Tax ID#: 1 �—O .�- U { i L( I l GC✓C/ Lot No.
Site Plan Name: Block-No.
Project Name:
iSetbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK; ,
remove existing pedestal install new 150 amp meter
CONSTRUCTION INFORMATION:
Additional work to flas.Tank
orme un er t is permit-c ec a app y:
HVAC ❑Gas Piping _Shutters alNindows/Doors
ZElectric ❑'Plumbing Sprinklers 11 Generator F]Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ j.S-UCJ Utilities SewerSeptic Building Height:
OWNER/LESSEE:. CONTRACTOR
.,Name ,d J ✓r+ �, �. �, L f�,�` Name: John R Law
Address:/L L L`t Ac,0 Company: LaWs.Electrical`Service Inc
City: -T{mss to {fir-g c State:f`/ Address: 5158 NW Primm St
Zip Code: (-7 f Fax: City; PT ST Lucie State:FL
Phone No. -:7-kr S 7(cJ-- Zip Code: 34983 Fax:
E-Mail: Phone No. 772 370 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.
SO??PLEMENTAC CONSTRUCTIONzLiEN LAW INFORI11iATt�N ':� ` " - .
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: �Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _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.Lucle Counttyy 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 considerationof the graritirig,of this requested permit,I do heireby°agreethat,I will;in,all respects,,perform the work
inaccordance with-theapproved 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,.screenrooms and accessory uses;to.another non-residential use
WARNING TO OWNER:,Your failure toAecord 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 f nailing,Gi ASUlt With lender Or an attorndy h6fore
eommencin ,wor r recording our Notice of Commencement.
S
_Signature Owner/Lessee/Agent Signatur Contractor/License Holder
STATE OF FLORi STAT OF FLORIDA
COUNTY OF COUNTY OF
The for oing inst nt'was ack owiedge before me The fo going intro nt was ack,,�j�owledged,before me
this 6LQiay of 20 �by this Oda of u LCd�/_,,20 by
(Name of person acknowledging} (Name of person acknowledging)
(Signatuee.of Notary Public-State of.Florida} (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally.known OR Produced Identification
Type of identification Produced" Type of Identification Produced
Commission,No.
' ANNE BROW W Nd..
t Ll LLQ U1 MY COMMISS! N.#FF984663 I +` Y• aC_ gIVi�IE Bf20W ALO
FF9
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
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DATE
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