HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �A 61. ��� �zo/9 Permit Number: 1A d —�ro(z
Building Permit Application ,JAN 2 9 ��'
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Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 lrrginio Avenue,Fort Pierce FL 34982
Phone:(772)4.62-1SS3 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSEQ INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax l D#: 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 INFORMATION:
AdClMonal wor to 1) erformed under tis permit—check all appy:
IAHVAC U Gas Tank FIGas PipingShutters a Windows/Doors
Electric Plum _bing Sprinklers Generator O Roof
Total Sq_ Ft of Construction: SFt_of First Floor:
Cost of Construction:$ CGU . Q d Utilities: ,Sewer ElSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402CompanLaw'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: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricincgaol.com
from the Owner listed above) State or County License: ERD000122
if valve of construction is$2500 or more,a RECORDED Notice of Commencements required. E
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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: L/ 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 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 Assoc►ation 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.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 finandng, consult with lender or an attorney before
commencqg work or recorrddiin� our Notice of Commencement. /
Sign re of Owner/Agent/Lessee Si ure of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forr;olog instrWpant was acknowledged before me The for,eoi g instru�r►ent was acknowledged before me
this 'day of 1l'�.dn, _ 2o,�by this�ay of."•TT rrJ .204&by
JAMES W LAW JAMES W LAW
(Nam person acknowledging) (Na of person acknowledging) '
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known i,� OR Produced Identification
Type of Identification Produced Type of Identification Produced
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EXP)RES Apr921.2020
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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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