HomeMy WebLinkAboutBuilding Permit ApplicationALL APPUCABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date-,- fl z7 Permit Number:
RECEIVED
Our.: Building Permit Application FEB 0 9 2018
Planning and Develaornent Services
Building and Code Regulation Division Permitting Depart
2300 Virginia Avenue, Fort Pierce FL 34982 X St. Lucie conn
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:I?
Legal Description:
Property Tax lD #: 3414-501-1701-000/9 Lot No.
She Plan Name: Block No.
Project Name:
Setbacks Front Back:
1� DETAILED DESCRIPTION OF WORK:
Right Side: _ Left Side:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
OFditional work to be uertormed under this permit- c
IVAC [3 Gas Tank F]Gas Piping
RjElectric ElPlumbing OSprinklers
FShutters n Windows/Doors
0 Generator 0_1 Roof
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ /1,5-0e. <9e) Utilities: [---]Sewer Septic Building Height:
I -
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp.
Name:
James W Law
Address. 8000 S US # I Suite 402
company:
Laws Electric, Inc.
City: Port St. Lucie - State: FL
Address:
218 Beach Avenue
City:
Port St Lucie State: FL
Zip Code: 34952 Fax-
Phone No. 772-878-5513
Zip Code:
34952 Fax: 772-878-3347
E -Mail:
Phone No.
772-9714512
E -Mail:
-
lawselectricinr@aof.com
Fill in fee simple -Title Holder on next page ( if different
from the Owner listed above)
State or County License: ER0000122
I I
If value of construction is.5zsou or more, a ReLUKOW Fiotice or Lommencemenr is required.
cl zV008L9ZLLMVl BC9:60 91, 60 qe:j
l,-
SUPPLEMENTAL CONSTRUCTION LEEN LAIN INFORMATION:
DESIGNERJENGINEER:y Not Applicable
MORTGAGE COMPANY: -"NotApplicable:
Address:
Marne:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _/ Not Applicable'
Name:
Address:
City:
Zip:Phone:
BONDING COMPANY: r✓NotApplicable
Name:
Address_:
city--
ity:Zip:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby madeto obtain a permitto do the workand installation as indicated.
I certifythat 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 holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or and covenantsthat 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 failurete Record a N otice 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 yAu intend to obtain financing, consult with lender or an attorney before
cornmenging work or recordingyour Notice of Commencement.
�
Sign4 re of Ownerj Agent/ Lessee Sigr
y4fure of ContractoTfUcense Holder
STATE OF FLORIDA (1 � STATE OF FLORIDA ' ' -
COUNTY OF � J �/�y et -� COUNTY OF
the foraoinginstru t a*,asknowledgMd before me The for oinginstru twasacknowledged before me
this',�ay of ' this -r -7 --day of - -� 20_by
(Name of person acknowledging (Name of person acknowledging }
r
(Si atur of Notary Public -State of Florida) (Si atu� of Notary Public- State of Florida)
Personally Known ✓ OR Produced IdentificationJullet taw Personally Known i/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
U I ARY P OWC Juliet LaW
Commission No.c= d STATE OF Ohission No. G�Dy (',� gti°NDTARY PUB(
Qornnv G M n 1 STATE OF FU
Expires 111
Revised 07/1512014
RE'AE1NS
FRONT- ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DA7E
RECEIVED
DATE
CDMPLETED
FEB. 0 9 2018
Permitting Department
Z'd -g9Z6-egg-igg St. Lucie Countv LtiC69L8ZLLMVI 13E9:60 86 60 Qat