HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: `/// & Z1 b Permit Number:
_-_ - -
J'
Building Permit Application
Planning and Development Services
Building and Code Regulatiun Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential mo=
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
PROPOSED IMPROVEMENT LOCATION:
Address: 10 7 k S— -r/
Legal Description:
Property Tax ID #: G-(S f '-2— L 1 Jf 7 C/00 i--, 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" alum strut stand
CONSTRUCTION INFORMATION:
itiona wor to e e orme un er t is permit— a ec a appy:
HVAC Gas Tank Gas Piping _ Shutters n Windows/Doors
t-1
Electric D Plumbing Sprinklers Generator ❑
Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ / & C, rJ utilities: 0 Sewer 1:1 Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name C Lt - f -r,'a- /il r r.a vi kn y i L 4-"r �_
Name: John R Law
Address:-- -k w 11, --t e 6 ! ;. G �ia
Company: Law's Electrical Service Inc
Address: 5158 NW Primm St
City: State: 1 j"
Zip Code: U -7 :2 c-/ Fax:
city: PT ST Lucie State: FL
Phone No__;4 1 `i ` C?
Zip Cade: 34883 Fax:
E-Mail:
Phone Na_ 772 370 4357
Fill in fee simple Title Holder on next page (if different
E-Mail: johniaw5158@aol.com
State or County License: 29432
from the Owner Listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LiEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: _ Phone:
BONDING COMPANY: Not Applicable
Name: _
Address:
City:
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
5t. 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,
accessary 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 vice 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 worker recording your Notice of Commencement. —
_ Signature of nmer/ Lessee/Agent
STATE OF FLORIDA. STATE OF FLORID
COUNTY OF COUNTY OF
The fo going instrument was acknowledged —ore me
this day ofZIC-� . 2P acknowledged
of person acknowledging )
of Notary Public -State of Florida )
Personally Known.- Y� OR Produced Identification
Type of Identification Produced—
Commi
- ---• OrKUVVN WALMACH
MyCo
EXPIRES Apr; 21, 2
n i A m_.., ..
REVIEWS j FRONT I ZONING
COUNTER REVIEW
COMPLETE
INITIALS
The forgoing instrurnent was acknowledged before me
thisd y of 6 C:zk 20 II0 -by
� ALM &t�l
(Name of person acknowledging)
4 �dlw6z
(Signature of Notary Public- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced
Commission Ne.�� ;opal
FA""'Vr4 # FF984663
RES April 21, 2020
SUPERVISOR PIANS VEGETATION I SEA TURTLE MANGROVE
REVIEW REV] EW REVIEW REVIEW l REVIEW