HomeMy WebLinkAboutBuilding Permit Application ALDatEL API:A8 INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number
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Building Permit AppliCation MAR 2 0
Planning and Developmen'tSentices
BuiWing and Code Regulation Division
2300 Virginia Avenue,F6rr Pier;:e FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT AP. LICATION FOR: Electrical
PROPOSED 11NIPROVEMENT LOCATION:
_
Address:
Legal DEsCriptiDn:
Propertv Tax lD tl: 1301-111-0001-00015 Lot No.
Site Plan Name: Block No.
ProjectName:
Setbacts Fro-it Back: Right Side: Left Side;
DETAILED DESCRIPTION OF WORK:
Replace meter centerwith a combo pack
CONSTRUCTION INFORMATION:
ACIditional workto be rformed under u permit—check aapp y:
0HVAC Gas Tank O'sas PipingSh utters 0 WindoWsIlDoorS
E.ectric Plumbing []Sprinklers nGenerator 0 Roof
Tota'Sq.Ft of Construction: Sq.Ft.of First{
irst Floor:
Cost of:-Dnstr--cfjon:$ Utilities: sewerFleptic Building Height:
OWNER/LESSEE: CONTRACTOR-
Narre Wynne Building Corp- Name: James W Law
Address: 8010SUS41 Suite 402 Company. Law's Electric, Inc.
City:, Port St Lucie State: FL Address: 218 Beach Avenue
Zip Zode:-34952 Fax: City: Port SL Lucie State: FL
Phone r4o. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-lVail- Phone No- 772-971-4512
Fill iri fee simple Title Holder on nex=t page(if different E-Mail: lawselectricincQaol.com
from the Owner listed above) State or County License: ERC000122
if value o�cans`xuctign is$2500 or mare,a P,ECQfiDED Notice of Commencement is required.
0-d -29ZL-1,99-699 Lt7C69L9ZLLAAV7l 13060 811, OZ JeUY
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERjENGINEER: Nat Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address- Address: ti
City: State: City: State:
Zipc Phone: Zip: Phone:
FEIiSIMPLE TITLE HOLDER: lilotApplicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: city:
Zips: Phone: Zip: Prone:
OUIINERI CONTRACTOR AFFIDVIT;Application is hereby made to obtain a permitto do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit
St.Lucie County makes no representation that is granting apermit will authorize theermitholder to build the subject structure
which is in conflict with any apprcable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult tih t;t your Home Owners Association and review your deed for any restrictions which may apply_
in consideration ofthe 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 Cedes and St Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessorystructures,swimming pools,fences,walls,signs,screen rooms and accessory uses t6 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 gobsite
before the first inspection.if you intent}to obtain financing,consult with lender or an attorney before
cornmencinfE work or recordingyour Notice of Commencement.
�gfiature of Ownerj Agentj Lessee WnaWre of Contractor/License Holder
STATE OF FLORIDA �,. Ll1CIE STATE OF FLORIDA
COUNTY OF COUNTY OF ST- LUCIE
The forgoing instrurnPri was acknowledged-before me The forgoing instrument was acknowledged before me
this--'Lo_day of�,� 20ZV—by _ this day of _ . -o -by
JAMES W LAW JAMES.W LAW
(Name of person aekmozUedging) {Name of person AbItno*Iedging]
(Si of-iqotM Public-State of Florida) (Signature f Notary Public-State of Florida)
Personaiiy Known V- OR Produced Ide ad ccation Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Net Law Commission tvo. (�-G-d 4�7�S" (Seal)
Commission No_ Ju
G�y��6�� M— -STATEOFFrin
NO-r�Y PURL
Ju�er �"
,b COmmil G0046735 STATE OF FLORfpA
Poised 07115120I4 STATE 11/13/2020 Comm*W049735
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
Dp�TE
RECEIVED
DATE
COMPLETED
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