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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - -A w qf ) I / '/Vf�I" JamtNumher: J RECEIVED i j 'AN0 91018 Building Permit Application, Planning and Development Services i sitting Department Building and Code Regulation Division I k :t• Lucie county 2300 Virginia Avenue,Fort Pierce FL 34982 Phone: (772)462-1553. Fax: (772)462-1578 Commercial is Residential X I I PERMIT APPLICATION FOR: Electrical I PROPOSED INPROVEMENT LOCATION: j ,Address: / (� Legal Description: I Property Tax I #: 1306-111-0001-000le i Lot No. Site Plan Name: I Block No. Project Name: I Setbacks. Front Back: Right Side: Left Side: I I DETAILED DESCRIPTION OF WORK: !I i Replace meter center with a combo pack I I t .I CONSTRUCTION INFORMATION: Additional work to be pertormed under this permit—check all appy: HVAC _Gas Tank E]Gas Piping _Shutte,s Windows/Doors 'I Electric 0 Plumbing Sprinklers [Genera'tor © Roof Total Sq. Ft of Construction: S .Ft.of First Floor: { Cost of Construction:$ X620. OC) Utilities: _Sewer MSeptic Building Height: II OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp_ Name: James W!l aw Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc. City: Port St. Lucie State: FL Address: 21!8 Beads;Avenue Zip Code: 34952 Fax: City: Port St. Lucie State: FL Phone No. 772-878-5513Zip 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: lawselectrcinc@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. I i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ! DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY:': ✓Not..applicable Name: Name: Address: Address: i L, City: State: City: i ' State: Zip: Phone: Zip: Phone: i' FEE SIMPLE TITLE HOLDER: 1/Not Applicable BONDING COMPANY: ' r/Not Applicable Name: Name: Address: Address: � I City: City: !. Rhone: Zip: hone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do ttie work and installation as indicated. Icertify 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 Home Owners Association and review your deed for any restrictions which may apply. Iii consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work iri accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. ' Tlie 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 6mmencing work or recording our Notice of Commencement. Sign re of Owner/Agent/Lessee Sigr yffiure of Contractor/License Holder STATE OF FLORIDA Q �J STATE OF FLORIDA COUNTY OF ���` �Gf�'.� COUNTY OF I ffa,e'i The forgoing instrument was acknowledged.before me The forgoing instn ntwa s`ackpowledged before me thiS ,day of 20/ y thi -day o • Ofsby i -4-10?F 0 4-Att) (Name of person acknowledging) (Name of person acknowledging) ;{ i atur of Notary Public-State of Florida) (Si atu of Notary Public-'State of Florida) Personally Known ✓OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Produced IAKT-PLIBLIC i I . ..Juliet Law (Td STATE OF CFL61185sion No. �C O ommission No. - •� � NOTARY PUBO U&FrrWGC.046735 - - • Fat ares 1'/1'3'/2020 1 • STATE OF FLQ A Revised 07/15/20I4 s�'yeF 9 �ms 11113!2 0 ! � ' q. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION' SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE i ! RECEIVED DATE I .COMPLETED I i - I I