HomeMy WebLinkAboutBuilding Permit Application ALL APPLIrAB"-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
Building Permit Application MAR 2 0 2018
Planning and DevelopmeatSenices
Bufleing!7nd Cade Regulation Vvislon
2301,Virginia~!venin,F&r;Nerce FL 34982
Phone:(772)462-1553 -Fax:(772)462-1578 Commercial Residential X
IPERMIT AP:::"LICATION FOR: Electrical
PROPOSED INPROVEIVIENT LOCATION:
Address
Sal
Legal Description:
ProperbiTax lD#: Lot No.
Site Plan Name. -Block No_
Project:dame:
Setbacl:s Fro.-it Back: Right Side:_Left Side:
FDETAILED DESCRIPTION OF WORK:
Replace r,ieter center with a combo pack
L COPISTRUCTION INFORMATION:
;Tional work to be Dertormed under this permit-cfieck all tba appy:
EIHVAC Gas Tank ng —15hutters
01 0Gas Piping F, WincloWs/Doors
E;ectric M-Plumbing OSprinklers F-]Generator F]Roof
Tota': Sq.Ft of Construction: 5Q.Ft of First Floor.
Costof-oristr1-*ction:$ 0, Utilities:F�Sewer F ]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Narre Wynne Building Carp. Name: James W Law
Law's Electric, Inc.
Address. 80x0 S US#I Suite 402 Company:
City:, PortSt.,Lijcje State:FL Address: 21 B Beach Avenue
Zip .-.Ode: 34952 Fax: City: Port SL Lucie State: FL
Phone No- 772-87713-55113 Zip Code: 34952 Fax: 772-878-3347
E-Wail: Phone No. 772-971-4512
Fill in feesimple Title Holder on next page j if different E-Mail: lawselectficincQaol.com
from'die Owner listed above} State or County License: ER0000122
IfValli of onstrucrion.is$2500 or more,a RECORDED Notice of Commencement is required-
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE-ViNERJENGINEER- Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: x
City: State: City: State:
ZIP: Phone: Zap: Phone:
FEL'SIMPLE THE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address- Address:
LCity: City:
Zp. Phone: Zip: Phone:
OVVNERJ CONTRACTOR AFFIDVIT:.Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifythat no work or installation has commenced prior to the issuance of a permit.
St Lucie Count�r makes no representation that is granting a permsl:wilt authorize the�ermit holder to build the subject struitcrre
�uc�triire�Plenas c ns�ult w�thpyou�ome own�e s1eAssoaation a�retv�iew yaowursdeed ft many re�stri�ions whi�m�ayoag�fy ihit such
in consideration ofthe granting ofthis requested permit,i do hereby agreethat i will,in all respects,perform the work
in accordancevnith theapprwed plans,the Florida Building Codes and St.Lucie County Amendments.
The following bull ding permit applications are exernptfrom undergoing a full concurrency review:room additions,
accessory structures,SWU nmmg Pools,fences,wails,signs;screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Nolace of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the aobsite
before the first inspection.If you intend to obtain financing,consult vuith lender or an attorney before
commencingwork or recordingour Notice of Commencement.
Ss i ature of Owner/Ag eml Lessee ature of Contractor/License Halder
SyfATEE OF FLORIDA STATE OF FI.ORIDA ST. L t1CIE:
CC►UNTY or 5T.WCIEE ' COUNTY OF
The forgoing instrument was acknowledg,.cLbefore me Theforgoing instrumentwas acknowledged beforeme
thu daY of, �JW .2t:Ikyby this g.day of 20,,, by
JAMES W IAWr JAMES:Vtf LAW
(Naime of person adcc+auliedging) (dame of person a'hkrtiledging}
v..
(Sj:j,,P u Notary�Public-State of Florida j {Signature NotaryPublic-State of Florida j
Personally KnownV-' OR Produced Identification Personally Known '✓ OR Produced Identification
Type of Identification Produced Type of Identification Prodvued..
Commission No.�r rZ}S�b? � 1 Juliet Law Commission Ivo.g� �3-�' (Seal)
NOTARY pUeLl Ju" Law
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