HomeMy WebLinkAboutBuilding Permit Application ALL APFLICAB._E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED `
DatE: �r � Permit Number:
' RECEIVE
Building Permit Application 9
FEB 2 0 -�18
Planning and Development5eroices
Building and Code Regulation Division ST. Lucie county Permitting
2300 Virginia fivenue, Fort Pier.e FL 34982 _ _
Phone: (772)462-1553 =ax: (772)462-1578 Commercial Residential X
PERMIT AP'L ICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:-
Address: zlz _
Legal Descripti)n:
I Propert%/Tax ID#: 1301-111-0001-000/5 ' ( Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Fro-it Back: Right Side: Left Side:
FDETAiLED [,ESCRIPTiON OF WORK:
Replace meter center with a combo pack
COPJSTRUCTION INFORMATION:
Additional work toe e orme under this permit—check a t appy:
F1HVAC 11 Gas Tank F]Gas Piping _Shutters Q Windows/Doors
RE;ectric F11 Plumbing Sprinklers Generator Roof
Tota' Sq. Ft of Construction: S Ft. of First Floor:
Cost of Constr,_ction:$ 5-00, 06) Utilities:Sewer Septic Building Height:
O NERAESSEE: 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 rJo. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on ne}:t page( if different E-Mail: lawselectricinc(p_aol.com
from the Owner listed above) State or County License: ER0000122
if value of cons'ruction is$2500 or more,a RECORDED Novice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _✓Not Applicable
Na`m: arae:
Address: Address:
City: State: City: State:
Zip:_ Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: r,, Not Applicable
Name: Name:
Address: Address:
City: City:
Zip:_ Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit.
St.Lude 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
com;.,-nencing work or recording our Notice of Commencement.
Signs re of Owner/Agent/Lessee Sign
#fure of Contractor/License Holder
STATE OF FLORIDA p /j STATE OF FLORIDA
COUNTY OF COUNTY OF
The foreoing instru t a4knowledged before me The forgoing instru t was acknowledged before me
this, ,;day of 2018_"by this ay ofr -42—
20 ':by
(Name of person acknowledging) (Name of person acknowledging)
(Si fatur of Notary Public-State of Florida) (Si atu of Notary Public-State of Florida)
Personally Known OR Produced IdentificationJ � Personally Known ✓ OR Produced Identification
Type of Identification Produced P Type of Identification Produced
IC Juliet Law
Commission No. G``0 �� STATE OF fission No. �G D C 46735 _ ° NOTARY PLIBU
STATE OF FLA
Expires 11/ 3/2020 C�
Revised 07/15/2014 Expires 1111312 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED