HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC AB'_E INFO MAST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. o �—d•/� Permit Number:
RECEIVED
Building Permit ApplicationPlanning and DevelopmenrSenrices APR 0-170
Building and Code Regulation Division
2300 Virginia xivenue,Fort Pier•:e FL 34982 Permitting Departm nt-
Phone: (772)462-1553 =ax. (772)462-1578 Commercial Residential
X St.Lucie County
PERMIT AP?UCATION FOR: Electrical E
PROPOSED IINPROVEMENT LOCATION.
Address:
Legal Descripti)n:
ProperDiTax ID#t: 130;-1-[1-0001-00015 (? Lot No.
Site Plan:Nlame: Block No.
Proie�:t iVame:
Setbacls Fro-it Back: Right aide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
itiona wor(to (e�e orme under tispermit—check aappy:
OHVAC U Gas Tank ❑Gas Piping -_Shutters aUdindows/Doors
E�ectric Plumbing OSprinklers Generator FIRoof
Tota:Sq_ Ft of Construction: 5 Ft.of First Floor:
Cost of Constr lion:$ ��j 4c7• JU Utilities:DSewer D Septic Building Height:
OWN ER/LESSEE: CONTRACTOR_
Nan-e Wynne Building Corp. Name: .tames W Law
Address: 80CD S US#1 Suite 402 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 Na. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Nail: Phone No. 772--971-4512
Fill in feesimple Title Haider on ne)-T page I if different E-Mail: lawselectricinc@aol.com
from the Owner listed above] State or County License: ER0000122
if value of cons'.-ruction is 52500 or more,a P.ECORDED Notice of Commencement is required-
£-dLt££8L8ZLLMVett:80 96 £0 AV
SU
PPLEM
EN
TAL CONSTRUCTION LIEN LAW
INFORMATION:
DESIGNERIENG]i =Not Applicable MORTGAGE
COMPANY:
!•1ot Applicable
Name: Name: ti
Address: Address: ti
City. State: City-, State:
' -h
zijr- Phone: Zip: Phone:
HOL BONDING COMPAW:
FEE SIMPLE DtR�7 ,�:Not�Appric�able _5��NotApplicable
Name: Name:
Address: Addres;:.
City.
_Phone: zip: Phone-
OWNER/
iOWNER]CONTRACTOR AFFIDVIT".Application is hereby made to obtain a peninitto do the work and installation as indicated.
j cer*that no work or installation has commenced priorto-the issuance of a peri
St-La�Co"n
re
whichin such
Sau Piease cansuttwrth your Home E3i�rners AssotFattan and reviewyour deed far any restrictions which meay apply.
in consideration of-the granting of this requested permit,I do hereby agree that I Will,in all respects,perform the work
in accordmue vAth the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The foi building perr'41t,applications are exemptfrom undergoing a full concurrency re%il":room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary uses-to another non-residerittar use
INARNING To OWNER:Yourfailure 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
commenigpZr work or recordinayour Notice of Commencement-
_F-
awre oa�,
afore of Contractor/lIcenseHaider
STATE OF FLORIDA sTA-rE OF FLOR11113A
COUNTY COUNWOF ST. LUGS
The furaglng instrument ymsacknoilvied&e_Oefiore me Thefori instrument was acknowledged before me
ftiAiiii.-2-1,lay of 4 ZQ&2:.by this-9,-,day of c4ai 7-0,�-by
JAMES WLAW JAMES.WLAW
....................... ...... -
(pi of person aidmouRedifing) (Name of person*Ja'w*ledglng)-
(Signa�u-m-bkotaryPublic-State of Florida)
(yip-stupig)tarVPub�lic-Stat�eofl-lo�xidalii�
Personally Known W"o OR Produced IdEntili Personally Known %iiiiii OR Produced Idenin
Type of Idenin Produced Type of Identrrication Prod=ed_
Commission I JWW Law commission Wo. �- CZJ.5" (Seal)
NOTARY pUBUb Aft Law
WTARY
A-TE OF FLi PUBLIC
C=nwoo@46M.. STATE
R;e�:dsed 0711512014 Expires 1 l/ OF FLOR10A
:Xpjfes 11/1-
RMEWS FRONT SUPERVISOR PLANS X
ZONING VEGETATION SEA MA AVE .
COUNTER REVIEW REVIEW - REVIEW REVIEW REVIEW REVIEW
RECEIVED
i�A
COMPLETED
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