HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat /00/00 Permit Number:
FFF8
'�VED
Building Permit Application2 2018
Planning and OevelopmentServices . uce County, Permitting Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION EOR: Electrical E
PROPOSED IMPROVEMENT LOCATION:
Address:
-ca-7-92
Legal Description:
Property Tax ID#t: 130k-111-0001-0001�O 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:
Additional work to El
orme un er t is permit—c e a appy:
HVAC Gas Tank Das Piping _Shutters a Windows/Doors
2 Electric E Plumbing Sprinklers 0 Generator M Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ �CJC7• �� Utilities: Sewer a Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Lauds Electric, Inc_
City: Port SL 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: lawselectricinc(§aol.com
from the Owner listed above) State or County License: EROOOD122
If value of construction is$250D or more,a RECORDED Notice of Commencement is required-
9-d -99ZL-1.99-699 L�Bs✓8L8ZLLMbI eZZ:60 8L Z6 gezl
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Nat 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 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 financing,consult with lender or an attorney before
commenc' work or recording our Notice of Commencement
Sign re of Owner/Agent/Lessee Siolture of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instnimont was acknowledged before me The for'eo pg instrument was acknowledged before me
�.,:
thisdayof = �s'2�a 20,6—rby this,4,?;day6 204&by
,LAMES W LAW JAMES W LAW
{Nam person acknowledging) (Na of person acknowledging)
n r�-
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known YblOR Produced Identification Personally Known�j<'� OR Produced Identification
Type of Identification Produced Type of Identification Produced
// :Ri" , ANN �13RtO�rrW1N INA CH
Commission No.y�/ - (Seal) MY C MMISStgs N FF0. G 63 (Seal)'
E PIRES April 21,2020
(4 7)998-0�S.l FlortAalloq MVN.Oom I'
Revised 07/15/2014 MY COMMISSION S FFW663
"•?o.�,; EXPIRES
April 21,2o2o
Ior Noraryflervke,pph
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
9'd -89Z6-L99-L99 Lti£E9L9ZLLMV] eZZ:60 9l, Z6 qac