HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB.-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE: Permit Number
- RECEIVED
Building Permit Application �Eq 9 0 7018
Planning and Development5enlices
Building and Code Regulation L-ivision ST. Lucie EAunty, Permitting
2300 Virginia Avenue, Fort Piece FL 34982
Phone: (772)462-1553 -ax: (772)462-1578 Commercial Residential X
PERIAIT AP? ICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:- _
Address: f -
Legal DEscripti:)n:
I Propert i Tax ID#: 1301-111-0001-000/5 ' (: Lot No_
Site Plan Name: Block No.
Project game:
Setbacks Fro.it Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
[C::0 STRUCTION INFORMATION:
Additional work toe performed under this permit—check all appy:
[1HVAC Gas Tank OGas Piping _Shutters Q Windows/Doors
v, Electric F-11 Plumbing Sprinklers El Generator a Roof
Tota' Sq. Ft of Construction: S Ft. of First Floor:
Cost of Constr_ction:$ 00- JO Utilities:nSewer Septic Building Height:
011l►N ER/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 --ode: 34952 Fax: City: Port St. Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Nail: Phone No. 772-971-4512
Fill in fee simple Title Holder on ne}:t page ( if different E-Mail: lawselectricinc@aol.com
from the Ownar listed above) State or County License: ER0000122
if value of cons-:ruction is$2500 or more,a RECORDED Notice of Commencement is required. !
t
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 SIMPLE TITLE HOLDER: t/ 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 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
commencmg work or recording our Notice of Commencement.
Sign re of Owner/Agent/Lessee SiFy6ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The foreoipg instrn7nPnr was acknowledged before me The foreoing instrument was acknowledged before me
thisA_day of /� L�� _ 20 .by this day of � �204& by
JAMES W LAW JAMES W LAW
(Nam of person acknowledging) (Na of person acknowledging)
l
(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
ANN �ROWN WALMACH
F �:
Commission No.X� '/�i :,Seal) ommisslon o. li 3 (Seal)
MY C MISSION#FF984663
E PIRES April 21,2020
Y
14 711398.0159 FlorklsNota7Sa'vvKw.com
Revised 07/15/2014 EXPIRES
COMMISSION#FF984663
EXPIRES April 21,2020
Floc N-rySernoe.earc,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS