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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 7f 020 17 Permit Number_ Building Permit Application AUG 0 8 2017 Plonning and PevelopmentServites PERI,PI'1 i IPTG Building and Lode Regulation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Plerm FL 34.982 Phone:(772)462-x.553 Fax:(772)462-1579 . Commercial Residential x PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION:- Address: Legal Description: i - 1301-111-000.1-00015 :? (' � Propesfi�Tax ID#. - Lot No_ Site Plan P!ame• Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace.rteter center with a corisbo pack CONSTRUCTION INFORMATION: Additional wor to b QEn E] orme under tis permit—Check a appy: HVAC ❑ Shutters Q Windows/Doors LJlectrc Plumbing Sprinklers _ enerator FIRoof Tota'Sq,Ft of Construction: Sq.Ft. of First Floor: Cost of Constr.:ction:$ fzO01 00 Utilities: Sewer Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: .lames W Law Address: 8000 S US#1 Suite 402 Company: Law's Electric,Inc. City_ Port St.Lucie State: FL Address: 218 Beach Avenue Zip Code: 34952 Fax: City: Port St.Lucie State: FL Phone No- 777-878-&513 Zip Code: 34952 Fax: 772-878-3347 E-flfaiL Phone No. 772-971-4512 Fill in fee simple Title Holder on ne),t page(if different E-Mail: lawselectricinc@aol.com from the Owner listed above) State or County License: ER0000122 1f value of ccne�ruction is$2S©0 or more,a RECORDED Notice of Commencement is required. 9-d -8921-199-699 LV609L8ZLLAAV1 att:80 Ll, LO 6nV SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.. DESIGNEIRJENGINEER: _Not Applicable MORTGAGE COMPANY:. Not.!Applicable Name: Name- Address: Address: City: State: City: State: Ti P: Phone: Zip: Phone:. FEE SIMPLE TITLEHOLDER: i/NatApplicable BONDING COMPANY: r/Nflt Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT;Application is hereby made to obtain a permit to do the work and installation as indicated. 1':eertify that no work or installation has commenced priorto the issuance of a permit. St.Lucie County makes no representation that is granting a permit will authorize thepermit holder to build the subject structure As which is in conflict with any applicable Home Owners sociation rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Home Owners Assocratibn and review your deed for any restrictions which may apply_ In considerat{on of the granting of this requested permit I do hereby agree that I will,in all respects,perform the work iii accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments. Thetvllowing building permit applications are exemptfrom undergoinga 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 irtiprovernentsto your property.A Notice of Commencement must be recorded and posted on the jobsiW before the first inspection-1f you intend to obtain financing,consult wrth lender or an attorney before commencing work or recording our Notice of Commencement. S;gn a of owner)Agent/Lessee Sleryffure of Contractor/Ucense Holder STATE OF FLORIDA STATE OF FLORIDA a COUNTY OF COUNTYOF theforeoing instrurrlent was agknowledg<ed before me Theforgoing instrum nt was acknowledged before me this;a__d *of_� 24 f by this,_-day of,' 20 by (Name of person acknowledging) (Name of person acknowledging) ( urof Notary Public-State of Florida)at (Si atu of Notary Public State of Florida} Personally Known ' ✓OR Produced IdenY itionjukt Personally ICnawn ✓ OR Produced Identification Type of Identification Produced �RRY LTvipe of Identification Produced STATE Of r .Juliet Law Commission No. G �-j ission No- GCsd p. NOTARY PUBLIC 1 Expires 11! 312020 STATE OFFLRA 4 61 Revised 07115/2014 Expires 111131z REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW' REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED 9'd -8926-6.99-699 L��£8L8ZLLMb� ebb:80 Ll- L0 6n`d