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HomeMy WebLinkAboutBuilding Permit Application ALL APFLICAB�_E INFO Ni-UST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED Dats.;� ' ��« Permit Number. RECEIVED Building Permit Application %Planning and Development Services APR 0.3 WIR Builiing end Code Regulation Civision 2300 Virginia Avenue,FortPier:e FL 39982 permitting Cote, o- Phone:j772)462-1553 Fax: (772)462-1578 Commercial Residential St u PERMIT AP?UCATION FOR: Electrical D PROPOSE© IMPROVEMENT LOCATION:- Address: Legal Descripti fin: Properni Tax ID 4: "1301-111-0001-00015 =?{V Lot No. Site Plan Name: Block No_ Project iVarve: Setbacl:s Front Back: Right Side: LeftSide: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack a _ _ gyp CONSTRUCTION INFORMATION: itiona wor to e erformea under tis permit—check all that appy: OHVAC Gas Tank []Gas Piping -_Shutters ❑WindowslDoors F]E.ectric Plumbing Sprinklers F Generator I=1 Roof_ Tota' Sq. Ft of Construction: Sq. Ft of First Floor-. Cost of Constr,_ction:$f �lr�o O Utilities: Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Narre Wynne Building Corp. Name: James W Law Address: 8000 S US:9 1 Suite 4a2 Company. Law's Electric, Inc- City- . Port•St Lucie State: FL Address: 218 Beach Avenue Zip Code: 34952 Fax: City: Port St. Lucie State: FL Phone rio. 772-87B-5513 Zip Code: 34952 Fax: 772-878-3347 EWai1: Phone No- 772-971-4512 Fill in fee simple Title bolder on next page( if different E-email: lawselectricinc@aol.com from the Owner listed above) State or County License: ER0000122 r if value of cons':ruction is$2500 or more,a RECORDED Notice of Commencement is required. i r. L'd -8921-199-199 I-VEE9L8ZLLMV1 eq-V:90 86 CO jdy SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERANGINEER: -4/ Not Applicable MORTGAGE COMPANY: Not Applicable Flame: Name: Address: Address: % State: CrtV: State: Zip: Phone: TI p: Phone: FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY., _v/Not Applicable Name: Name: Address: Address: City: Cirty: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. st.Lucie Cwn 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 prohlibit such structure.Please consult wo 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 Recon!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 commencing,work or recording your Notice of CommencemerrL Sre of Owner/Agent/Lessee Slignature of Contractor/License Holder 71i;_W@ STATE OF FLORIDA STATE OF FLORIDA COUNTY-OF SAINT WCIE COUNTY OF� SAINT WCIE The fprpolng instrument vans acknowledged before me The for going invtrume t was knowledged before me 201,g.by JAMES W LAW JAMES W LAW (N e of person acknowledging) a arson ron-acknowledging (Signature of State of Florida) (Signature of Notary Public-State of Florida I Personalty Known ----OR Produced tdenldrcation Personally Known' 4-- OR Produced Identification Type of Identification Produced Type of Identification Produced 7­ Commission No. Sao- e:11k,-1 ANNE BROWN t LMACH ANNE BROWN WALMACH SSION N FF'984563 MY COMMISSION#FF9846W Revised OW15/2014 • EXPIREISAM121.2020 (407) EXPIRES April 21,2020 407 338 153 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGErATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE cOMPLETE INITIALS 9-d -99z6-L99-699 LVC09LSZLLMVI 89t:90 94 Co AV