HomeMy WebLinkAboutBuilding Permit Application I
ALL APPL CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_. Permit Number:
RECEIVED
- - Building Permit Application jai 09 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982 st. Lucie county
Phone: (172)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INP/ROOV�)EMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 130, 111-0001-0001.0 Lot No.
Site Plan Name:
Block No.
Project Name:
Setbacks Front Back: Right Side: LeftlSide:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo packi.
1 CONSTRUCTION-INFORMATION:
Aciclitional work to be nertormed under tis permit–c ec a11 appy:
HVAC —Gas Tank Gas Piping _Shutters i � 4 �n
Windows/Doors
Electric ❑ Plumbing SprinklersGenerator Roof.
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ c`��� d Utilities:DSewer 0Sepltic 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 SL Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971,1-4512;
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County Licei'se: ER0000122
LCommencement;f value of construction is$2500 or more,a RECORDED Notice of is requited.
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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 S&MPLE TITLE HOLDER: _(/Not Applicable BONDING COMPANY: i r/.Not Applicable
Name: - Name:
Address: Address:
City: City-
Zip: Phone: Zip: Phone:
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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#at 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 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 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 lenderlor an attorney before
dol mmencin work or recording our Notice of Commencement.
Sign re of Owner/Agent/Lessee Sig re of Contractor/License Holder
STATE OF FLORIDA Q - STATE OF FLORIDA
COUNTY OF COUNTY OF
The foreoing instrument was acknowledged.before me The foreoing instm entwas acknowledged before me
this. clay of 20 y thie� '+gay of;
Tv
(Name of person acknowledging) (Name of person acknowledging)
( t atur of Notary Public-State of Florida) (Si atu of Notary Public-;state of Florida)
Personally Known it--�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced laggrtaw Type of Identification Produced
{ Juliet Law
O _STATE OF FLgIsion
Commission No. NOTARY PUBO
i G 046735 I
s 0 V STATE OF FLCt A
�e
Expires 1 /13/2020
Revised 07/15/2014 s�'�'E a . Expires 1111312 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW j .REVIEW REVIEW
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