HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED no 5
Date: Permit Number: ri
' rE
MAY 0 2 20�
Building Permit Application PER NIIT i,;C-
Planning and DevelopmenttServices St. Lucie
Building and Code Reguiation Division
2300 Virginia Avenue,Fore Pierce FL 34982
Phone:(772)462-3553 Fax:(77.2)462-1578 Commercial Residential X
PERIViITAPPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION
Address: tt✓Q�
Legal.Descriptian:
Property)Tax ID#• 1301-111-0001-00015 = L Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
AcIctitional work to n6asTank
orme un ert is permit–c ec a app y:E1FNAC OGasPiping -_Shutters aWindows/Doors
�EIectdc Plumbing Sprinklers E—1 Generator Roof
Total Sq.Ft of Construction: S .Ft_of First Floor:
Cost of Construction:$ 00 Utilities Sewer F5eptic Building Height:
OWN ERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc.
city: Port St.Lucie State:FI Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St Lucie: State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,! Not Applicable MORTGAGE COMPANY: .j Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE MOLDER: L Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certlfythat no work or installation has commenced.priorto the issuance of a permit
St.Lude 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
stricture.Please consult wrth your Horne Owners Association and review your deed far any restrictions which may apply.
in consideration of the granting of this requested permit,I do hereby agree that l 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 worts or recorrddin� our Notice of Commencement.
Si re of Owner/Agent/Lessee Sfipature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUPnYOF SAINT LUCIE COUNTY OF SAINT LUCIE-
The forlaoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day Of�'36 20 di!e--by this
day of 20Z4 by
JAMES W LAW JAMES W LAW
{N a person acknowledging} (Name f arson acknowledging}
,,,k,,,
(signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known "AOR Produced Identification Personally Known '-- OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. 9 .�G Commission No. _�F �� (Seal-
' ANNE BROWN W MACH :�!"" ANNE BROWN WALMACH
L140W
SSION N FF9e4s83 ='= MY COMMISSION#FF98063
Revised 07!15/2014 3eaa o,rs EXPIRES Aprlt z2,2020 .�a„^e `� F.xPIREs April za,2a2o
rwaoom
1440?130-0153 RaridnNnen
REVIEWS FRONT Z014ING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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