HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB'-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:'. ISI � .� _ / C� l
Permit Number:
Building Permit Application MAR 2 0 2018
Planning and DevL-lopmentSemices
Buileing and Cade Raguhridon Civision
2300 Virginia Avenue,Flirt Pfer•:e FL 34982
Phone:{772)462-1553 'Fax:(772)462-1578 Commercial Residential X
PERhA[TAP.PLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:.
Address:
Legal DFscripti-)n:
Properbi Tax ID Lot N o-
Site Plan Name: Block No_
ProjeztName:
Setbacl,s Front Back: Right Side: Left Side:
DETAILED DESCRIPTjON OF WORK:
Replace meter center with a combo pack
CW61 RUCTION INFORMATION:
Adclitionalworktobe erformed under this permit—check all that apply:
L�IHVAC Gas Tank FGas Piping F Shutters EjWndoWs/Doors
Gectric 71 Plumbing []Sprinklers Generator CIRoof
Total:Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of-anstr--ction:$ Utilitites:0Sewer U.Septic Building Height:
OWNERILESSEE: CONTRACTOR:
Narre Wynne Building Corp. Name: James W Law
Address- 8007SUS#1 Suite 402 Company: Law's Electric, Inc_
'City. Port St.Lucie State: FL Address: 218 Beach Avenue
Zip -ode:_34952 Fax: City: Pon St.Lucie State: FL
Phone No. 772-87B-5513 Zip Code: 34952 Fax: 772-878-3347
E-Tv ail: Phone No. 772-971-4512
Fill ill fec-simple Title Holder on ne>-.t page(if different E-Mail: lawseilectricinciPaol-com
from the Owner listed above) State or County License: ER0000122
If value of consf:ructior,is$2500 or move,a RECORDED Notice of Commenrementis required-
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DESIGNERIENGINEER- _zlhot Applicable
MORTGAGE COMPANY-- shot Applicable
Name: Name:
Address: Address:
CfVj_ - - State: City:
Zip: Phone: p: Phone:
FEE SIMPLE TITLE HOLDER: 7"NotApplicable BONDING COMPANY:
otApplicable
Name: Name:
Address- Address:
City-- CrLr--
TP: Phone: Zip: Phone:
OWNER/CONTRACTOR AFRDVIT.Applicadon is hereby made to obtain a perrnlitto do the work and installation as indicated-
j certify that no wont or installation has commenced prior tothe issuance of a permit.
-5tL rs rn tasrliict wrth art►appficahie Horne owners Assacrdtion rules,bylaws or anti covenarrts that may restrict or prohibit 3e Counttyy rnalt�s no representation that is granting a permit tnrril aulfitorrre#re perm hat8erta build tfre ssrbje re5 sur
h=
in consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance iWdh the approved plans,-the Florida Building Cades and St.Lucre County Amendments.
The lbil ow i ng building paff MIt appI icadoT,S are exe mpt fro rn undergoinga full concurrency reV1 ew, --room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING To OVMER.,Your failure to Record a Notice of Commencement may result in Your paving twice for
improvements to your property-A Notice of Commencement must be recorded and pasted on the j absite
before the first inspection-if you intend to obtain financing,cortsult vulth lender or an attorney before
commencing work or recordingyour Notice of Commencement.
Wature of Contractor/License Holder
atone of Owner/Agent/Lessee
An_�t
STATE OF FLORIDA STATE OF FLOIiIDA
C !Uy OF SL WCIE ST_WCIE
0, COUNTY OF
Theforgoing instr9ment was acknowledmd-before me Theforgdng instrumentwas acknowledged 4efore me
2QyS_jby
JAMES W LAW JAMES W LAW
TR—arne of person a&a0zliladging) jRame of person 9dmmWedging I
tan Notary Pubft-State of Florida (tign-aidre&Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known '✓ OR Produced Identification
Type of Identfficatlon Produced Type of IdentScation Prod=ed_
Commission No- b7y Juvet Law Commission Wo. (Seal)
NOTARYPUBUI 40" Juliet Low
%t'A1_EOFFL0Rlp4 mul-ARYPU13LIC
Revised 07/15/2014 a C0Mrr#GG04M&-- STATE OF FLORICA
bx0res 111134
11011EWS FRONT ZONING SUPERVISOR PLANS vEc.ETA-noN sF-ATuRTLE MAHRVE
FRONT SUPERVISOR P
REVIEW
R
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE_
Rrtr_ErVED
DATE
COMPLETED
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