HomeMy WebLinkAboutBuilding Permit Application ALL AP LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application NOV 0 9 2017
Planning and Development Services PER'R ITTI NG
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 a
PROPOSED INPROVEMENT LOCATION:
Address: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:
AcIcIftional work toe performed under tispermit—check alFtliat appy:
HVAC Gas Tank FGas Piping 1:1Shutters �Windows/Doors
RJElectric Ej Plumbing Sprinklers E Generator 0 Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction:$ CJ O C�, U� Utifit ies:0 Sewer Elseptic Building Height:
OWNER/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: 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: ✓ 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 pennit.
St.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 prohibitsuch
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 agreethat 1 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 concurrenty 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
cornmeniprig work or recording our Notice of Commencement.
Sigd6ture of Owner/Agent/Lessee _ ature of Contractor/Licensa Hnfder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY.OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forming instrument was acknowledged before me The fora ing in .,pent was acknowledged before me
this_- ay of —!Ger 2 ��J. 24[�by thi ay off��c s J _20/7. by
JkkMES W LAW JAMES W LAW
( e of person acknowledging) (N of person acknowledging l
(Signature of Notary Public State of Florida) i`gnature of Notary Pubfic-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced // Type of Identification Produced
Ccrnmission No. FF Commission No. (Seal)'
ANNE SRO WALMACH `
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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