HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED'FOR APPLICATION TO BE ACCEPTED
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Building Permit Applicati n APR 19 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia A venue,Fart Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEIVIENT LOCATION:
Address: c '
Legal Description: -
Property Tax ID#: 341.4-501-1701-000/9 Lot No_
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: night Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional war to (e ae orme un er t is permit—c e a appy:
QHVAC L.J bas Tank �6as Piping _Shutters a Windows/Doors
RiElectric' Plumbing MSprinklers Generator 0 Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$__ �, G7 C} , Utilities:LulSewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 80Q0 5 U5#'I Suite 402 Company: Law's Electric, Inc_
City: Port St. Lucie State. FL Address: 298 Beach Avenue
Zip Code: 34952 Fax: City: Fort 5t.Lucie State: FL
Phone No. 772-878-5593 Zip Code- 3452 Fax: 772-878-3347
E-Mail: Phone No. 772-9794512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aol.corn
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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SUPPLEMENTAL CONSTRUCTION LIE? LAW INFORMATION: =
LE SIGNERIENIMNIEPP.- Not Applicable MORTGAGE COMPANIY. Not Applicable
Name: Name:
Address: Address:
city: State- +City_ State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE! OLDdl-. Not Applicable BOND1146 COMPANY: Not Applicable
Nance: Name:
Address: Address:
C•[ty: City'
Zp;
Phone: Zip: Phone:
OWNER/CONI RACTOR AFFIDVIT:Apprication is hereby madeto obtain a pennitto do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucis Coun�y maks no relsresen'iationthat is�anting a pernzitwill authorizethe�erinkho2derto lzuild thesubjectstructure
uufirclti is rn con#iict with an}r apptrcabte dome Llwners Assocration rotes,bylaws or a covenants that may restrict or prohibksuch
structure.Please consult risrrth your Horne Owners Assocnation and review your deed for any resttictirsrss which may agpty_
in consideration of the granting.of this requested permit,I do hereby agree that t will,in all respects,perform ttie work
in accordancevAtb the approved plans,the Honda Building Codes and St Lude Copnty Arnendrnents.
'Thefoilowing building permit applications are exemptfrom undergoinga full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
VifARNING TO OWNER:Your failure to Record a Notice of Commencement my result in your paying twice for
€mprovementsto your property.A Notice of Commencement must be recorded and posted on the jobs to
before th a first inspection.It you intend to obtain frnandrig,consult with lender or an attorney before
commenting work or recording our Notice of Commencement.
S ature of Owner/Agent/Lewae nature of Contractor/Ucense Halder
SII'ATE OF FLORIDA �.LtJCIE OUNTY OFSTATE OF $7.
ST.LUCtE
COUNTY OF
Theforrfa`ainginstrum- ent as acknowledw-dbebreme -rheforgoinginstrument was acknowledged beforeme
tli day o€�„V'� Z� by thiscday LTA^�a '� 2�, by
JAMES W LAW JAMES-W LAW
{Name of person a&mvrn9dging) (Name of person al=a s-rledging 1
A,�
(signatu a -Notary Public--State of Florida)
(sgnature Notary Public-State of Florida
Personarly Known '�� OR Produced Identification. Personally Known '✓ OR Produced Identification
Type of.lderrtifrcation Produced Type of ldentil`ication Proderaed
comrr&sion No_�11t��.?�� 1 Juliet Law commission No.�r��I< (Seal)
N07-ARY PtJBI A*et Law
FtOR10A Y PUSL.o
R.eyised 07/151201.4 � ��o9tiJ�` .• STATE of�,p�qA
Expires i 1!1 CCMRV GG
xp res 111 GRDVE REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEATURTLE MA
CC1LMTER REVIEW REVIEW - REVIEW REVIEW REVIEW REVIEW
-
RECEIVED
DATE
COMPLE[ED .
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