HomeMy WebLinkAboutBuilding Permit Application ALL APFLICAB_E INFO MJST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatcPermit Number:
RECEIVD
Building Permit Application
Planning and Development 5entices APR 2 4 2018
Bui1c'ng and Code Regula<ion Division
2301•Virginio.;wenue,ForC i'ierre FL 34982 5T, Lucie County, Permitting
Phone:(772)462-1553 =ax: (772)462-1578 Commercial Residential X
PERMIT AP." KATION FOR: Electrical
PROPOSED IINPROVEMENT LOCATION:-
Address.
OCATION:Address: / ^
Legal Descripti in:
Property Tax ID 4: 130'-111-0001-00015 ( Lot No.
Site Plan Flame:
Block No.
Project Vame:
Setbacl:s Fro-it Back: Right gide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional work toe ertormed under tis permtt—c ec a apply:
UHVAC Gas Tank EGas Piping _Shutters E]Windows/Doors
L=1 Electric ❑Plumbing Sprinklers [ Generator ❑Roof
Total Sq-Ft of Construction: Sq. Ft.of First Floor_
Cost of-Zonstr_etion:$ JO Utiiities:El Sewer Septic Building Height:
0lh'NER/LESSEE: CONTRACTOR:
Narre Wynne Building Corp_ Name: James W Caw
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc-
City:
City_ Port St Lucie State: FL Address. 218 Beach Avenue
Zip Zode: 34952 Fax: City. Port St. Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
EAVail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page( if different E-Mail: Iawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
if value of cons':ruction is$2500 or more,a RECORDED NoTice of Commencement is required. E
i tl
£•d -8921-199-199 Lb££8L8ZLLMVdZ0:Z0 96 £Z jdV
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
DESIGNERIENGINEER: NOtApplicable MORTGAGE COMPANY: Not A lrcable
� � pP
Name: Name:
Address: Address: t
City: State: City- State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: ____Not Applicable
Name: Name-
Address: Address:
Orty: City:
i Zip: Phone: Zip: Phone:
1
OWNER/CONTRACTOR AFFIDVIT:.Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit
St_Lucle jEounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which min conflict 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,I do hereby agree that 1 will,in all respects,perform the work
in accordance wiFth theappraved 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 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
commencin work or recording our Notice of Commencement.
S ature of Owner/Agent)lessee re of Contractorll.icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST- LUCIE COUNTY OF ST.LUCIE
The fv*Ro-ng instrurtnen was acknowiedge_� Th
-before me e forgoing instrum twas acknowledged before me
thi,=Tay of 201JLby this . day 20„ by
JAMES W LAW TAMES W LAW
(Name of person adkmoWkdgmg l (Name of person ftnoAirledging)
t (signaty Notary Public State of Ftarida) (Signature atary Public-State of Florida)
Personally Known '✓ OR Produced Identification Personally Known '✓ OR Produced identification
Type of Identification Produced Type of Identification Produaad
Commission No- 1 Juliet Law commission No./,:..(y/aclG.7.�s' (Seal)
NOTARY PUBLIC Jurist UW
F FLORIQqFIX I p4igRYPUg
Revised 07/15/2014 s Expl r 11/ 735- STATE 1342n., S OFFLOR ,04
rm1113/2��p
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
QATE
RECEIVED
DATE
COMPLETED
b d -8926-699-699 L�£g8L8ZLLMb'l d£O:ZO 96 £Z add