HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: d, Permit Number: 177 11- 0 ,8T
["M"CEIVED
Building Permit Application' DEC I/12017
Planning and Development Services Public Works
Building and Code Regulation Division St. Lucia County,
2300 Virginia Avenue,Fort Pierce FL 34982 FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax 11D#: 3414-501-1701-000/9 Lot No.
Site Plan Name: Black 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:
Mona war _f eoe appy:
�rtiona w to rtormed under tWis permit—check 811 tl2at
1_1HVAC 1:_]GasTank 0683 Piping F ]Shutters ElWindows/Doors
Electric E7111umbing 0Sprinklers Generator 0_1 Roof
Total Sq.Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$ 0—( eUtilities:0Sewer 1:1 Septic Building Height:
- -—9- —
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address-. 8000 S us#I 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-B78-3347
E-Mail- Phone No. 772-971-4512
Fill in fee simple'Title Holder on next page I if different E-Mail- - lawselectricinc@ac)l.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: V Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable8011IDING 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 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 Hoare Owners Association and review your deed for any astrictions wiYich may apply.
in consideration of-the granting ofthis 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 County Amendments.
The following building permit applications are exemptfrom 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 work or reccJordin/ our Notice of Commencement.
Siioure of Owner/Agent/Lessee Signature of contractor/License Holder
STATE OF.FLORIDA = STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forF,ping instrument was acknowledged before me The for-ping instrument was acknowledged before me
thFs ay Of �` 20,�Mby thisc.abdayof 1 r .20,'.by
_ .(AMES W LAW .LAMES W LAW
(Naine of person acknowledging) (Mame f ermn acknowledging)
Uv-L
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known 'f/OR Produced Identification Personally Known 4--- OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. -...IQG^ Commission No. _/�9�J�L � (Seal)
ANNE BROWN W LMACH ;�'"' ANNE BROWN WALMACH
-' FON#FF884663 'E MY COMMISSION#FF904663
Revised 07/15!2014 E FpN April 21 X2() EXPIRES Apri!21,2020
1401 39MI58
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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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