HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO EXIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number-
Building Permit Application DEC 9 1 2017 4
Plonning and Development Services P E M111 I i 7 1
Euliding and Code Reguiation Division St. Lucie C<
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
:=0R: Electrical E
PERVI IT APPLICATION
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'POSED INPRO)(EMFNT LOCATION'
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Addre!;s:
Legal Description:
Property Tax ID#: 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 INFORIMATiON:
Artcliticnalworktob:SasTanl;
r—lormed under this permit—check all that apply:
HVAC Gas
Piping IJ Shutters jQ Windows/Doors
LJ E.7 e ct ri c �Plumbing rSprinklers Generator Roof
Total 3q. FL of Construction: Sq.Ft.of First Floor:
Cost cf Construction:$ Utilities: 0 Sewer 0 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp- Name: James VV Law
Address: 8000 3 US#I Suite 402 Company: Law's Electric,Inc.
City:. Port St. Lucie State: FIL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St Lucie State: FL
Phor.e No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
-ill in fae simple Title Haider on ne)r!page(i1 different E-Mail: lawselectricinc@aol.corr
,Tom-&e Owner listed above) State or County License: ER0000122
11 If value o-i 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 TITLE HOLDER: _k/ 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 priorto the issuance of a permit.
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 prohibit such
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 agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lude 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
cornmen_ptng work or recording our Notice of Commencement.
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Sig, ture of Owner/Agent/Lessee Anature of contractorflicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instru ent was acknowledged before me The forgoing fnst�u ent was acknowledged before me
th3_-K�lay of 20)7-by this Slay of d 20/7 by
JAMES W LAW JAMES W LAW
( e of person acknowledging} (N of person-acknowledging)
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(Signature of Notary Public-State of Florida} ftnature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known ',-- OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission NO. F� �� _ 3 Commission No. � .� (Seal)-
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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