HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA8112 INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE� Permit Number:
"XYUJA _
RECEIVED
Building Permit Application
Planning and DevelopmentSen4ces NOV 13 2017
60dingand Code Regulation 01vision
230D Virginia Avenue,Fort PTer:-e FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial46pq�ng Department
PERIAITAP'.'>`!_ICAT[ON FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:-
Address: -7
Legal Description:
Proper0i Tax ID#: 13011-111-0001-00015 Lot No.
Site Plan Name: Block No_
Project fiJame:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
-Additional work to be ertormed under this permit—check all that apply: E
DHVAC Gas Tank E]Gas Piping D_Shutters E]Windows/Doors
ZE;ectric Plumbing OSprinklers D Generator El Roof
Total:Sq.Ft of Construction: S Ft of First Floor:
Cost of Constr-_-ction:$ Utilities.Cn Sewer Septic Building Height:
Olh'NERILESSEE: CONTRACTOR:
Nacre Wynne Building Corp- Name- James W Law
Address- 80[0SUS#1 Suite 402 Company: Law's Electric, Inc.
City- Port St.Lucie state: FL Address: 218 Beach Avenue
Zip -ode: 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 Holderon ne)--t page(if different E-Mail: lawselectricinc@_aoi-com
from the owner listed above) State or County License: ER0000122
if value ofconstructionis$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENG1NEER: i/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _jel Not Applicable 'BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Phone: Zip: Phone:
I certify that no work or installation has commenced priarto the Issuance of a permit
St Lucie Counttyy 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 OwnersAssoclation 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 ofthegranting of this requested permit,l 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 CountyAmendments.
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
nommen in work or recordingvour Notice of Commencement
Si tune of Owner]Agent/Lessee nature of Coritiactor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE..
TbefbrLrdlnginstnAtmPnt was acknowledged before me The forming instrurnentwas acknowledged before me
this/,_:2.day of 20 f2 by tht4371 .day
JAMES W LAW A JAMES W LAW
7e of person acknowledging} [N rh of person acknowledging)
L
bi- - -
(Signature of Notary Public-State of Florida) ( ignature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Ideriftcation Personally Known —� OR Produced identification
Type of Identification Produced Type of identification Produced
Commission fro. FF cf��(e�v3 i Commission No. F/G
ANNE BR0 WALMACH ;. ?,•.
N#F 9
3 MY COMISSION#FF984663Revised 07115/2014 98 7April 21, 'imp
FNS
EXPIRES April 21, o
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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