HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1 l 0 a—6a5-a'
RECEIVED
Building Permit Application FEB 12 2018
Planning and Development Services
Building and Code Regulation Division ST, Lucie County, permittiJ-
2300
Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax lD#: 130 111-0001-0001.0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
J
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work to b
(ewe{rtormed under this permit—check all rhat appy:
HVAC I Gas Tank Gas Piping _Shutters F_�Windows/Doors
9
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Electric Plumbing Sprinklers aGenerator PRoof
Total Sq. Ft of Construction: S Ft.of First Floor:
I Cost of Construction:$ ��.Uy Utilities:O Sewer OSeptic 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_
Cita: 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 I if different E-Mail- lawselectricinc@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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNERIENGINEER: �Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
` Address: Address:
Cly State: City: State:
Zip: Phone: Zip: phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: _Nat Applicable
Name: Name: _
Address: Address:
City: City
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby madeto obtain a permit to do the work and installation as indicated"
1 certify that no work or installation has commenced prior to the issuance ofa pen-nit.
St.Luce 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 appiy.
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,vralls,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
commencing work or recording our Notice of Commencement.
ature of Owner/Agent/Lessee 5i nature of Contractor/License Halder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUCIE COUNTY OF ST. l UC1E
The forgoing instrump-t was acknowledg_ed_before me The forgoing instrument was acknowledged before me
this /,; day of - 20 by 1 this,,_.day of �ZJ .20„4�k--_rby
l JAMES W LAW JAMES VV LAW
1
(Dame of person acknurshedging) (Name of person aektsD*ledging)
[Sig of Notary Public-State of Rclrida} (Signature f Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known --"" OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. G G 041,::,1 Juket Law Commission No. (Seal)
NOTARY PLtBL
OF F Jul,& LawSTATE
C�Omrr;g 46735
Revised 07115/2014 s� �' Exp sG11/13/2020 c STATE OF FLOF2IQA
e Comm#G0048735
020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER J REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DAVE
COMPLETED
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