HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: CG.A'1e's) /.�7 Permit Number:—mo - MIS
RECEIVED
Building Permit Application ' OCT 2 7 2017
Planning and Development Services PEWAITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 3414-501-1701-000/9 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 at each address
CONSTRUCTION INFORMATION:
4dditronal work to a orme under this permit—check a appy:
HVAC EDGasTank FGasPiping OGenerator
Li Shutters Windows/Doors
Electric 0 Plumbing Sprinklers Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$74,9 Utilities: Sewer E Septic Building Height:
OVVN ER/LESSEE: 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. FL 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: €awselectricinc@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:
DES3GNER/ENGINEER: Nat Applicable MORTGAGE COMPANY: r�Not '%pplicable
Rfame: ame:
Add cess: Address:
City= State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _/Not Applicable BONDING COMPANY: ✓Not Applicabte
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWI1lER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated_
I certify that no work or installation has commenced prior to the issuance of a permit.
St_Lucie County makes no representation that is granting a permit will authcrizethe permit holderto 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
struciure.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 5t-Lucie County Amendments_
Thefollowing 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 recording our Notice of Commencement.
L;a'�v';v' �� —
Signa0dre of Owner/Agent/Lessee Sign ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forecing instrunyen as Sknowledged before me Theforeoing instrume t w s acknowledged before me
thisc ,day of 201. by thiss�day of,�• - 20f Zby
(Name of person acknowledging) (Name of person acknowledging)
(SE atur of Notary Public-State of Florida) (Si atu)le of Notary Public-State of Florida)
Personally Known -,--OR Produced Identification Personally Known ✓ OR Produced Identification
Type of ldentification Produced Type of Identification Produced
Commission No. G^D 7 � STATE OF --IICCQIiMission No. GG D � Juliet law
- (NOTARY PURLS
6 Expires 111 312020 STATE OF FLC� A
Revised 07!1512014 y r'iCE o Expires 1111312 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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CONIPLETEID
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