HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: oZol� Permit Number: rlo u1- 0-13
RECEIVED
Building Permit Application APR 10 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 130k-111-0001-0001 a Lot No_
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack:
CONSTRUCTION INFORMATION:
AddlTionalworktobepertormed under tis permit-check all t=apply:
HVAC Gas Tank OGas Piping _Shutters Q Windows/Doors
I�!Electric Plumbing 05prinklers Generator Roof
Total Sq.Ft of Construction: 5 Ft_of First Floor:
ICost of Construction:$ G/�• !�d Litilities: —Sewer ElSeptic Building Height:
a
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc_
City: Port St. Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: may: Port St Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. T72-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aol_com
from the Owner listed above) State or County License: ER0000122
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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f SUPPLEMENTAL CONS TRUCTION LIEN LAW INFORMATION:
I DESIGNERJENGINEER: �NotApplicable (MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: Gly: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
E Name: Name:
Address: Address:
Clty: City:
Zip: Phone: Zip: Phone:
OWNER1 CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
1 certify that no work or installation has commenced prior to the issuance of a permit-
St
ermitSt_Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co rilict with any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,1 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,wags,signs,screen roams and accessory uses to 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 }costed on the jobsite
before the first inspection.if you intend to obtain financing,consult witf:lender or an attorney before
commencing work or reccrdinri your Notice of Commencement.
si ature of Owner/Agent/Lessee §ijrnature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST. LUClE COUNTY OF ST. LUCIE
Thefooing instrumen -was acknowledged-before me The forgoing instrume t was acknowledged before me
this+-alay of ZD :by this . ,day o �p . -by
JAMES W LAW JAMES !W !AW
(Name of person adicnv-tUdging j (Name of person 6_k tt*ledging)
(Signatu d'b' Notary Public-State of Florida)
(Sgnatvre Notary Public-S to of Florida)
Personally Known 'Z OR Produced Identification Personally Known •✓ OR Produced Identification
Type of identification Produced Type of identification Produced
Commission No_ IhAet taw Commission nia.l�l�t1.�.�-��� (Seal)
NOTARY PUBLt .k*et La.-
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MAtdG O
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DATE
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