HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB-"E INFO MUST3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat E Permit Number: I U - a
RECEIV,,Er-
Building Permit Application APR 2 4 WT
Planning and Development Sentices
Building find Code Regulation Division ST. Lucie County, Pe-
2300 Virginic Avenue,Fort Pier:e FL 34982
Phone- (7721462-1553 7ax.(772)462-1578 Commercial Residential X
PERMITAP.")LICATION FOR: Electrical
PROPOSED IINPROVEMENT LOCATION:
Address: - 36
Legal DescriptiDn.-
Property Tax ID#: 1301-11 1-0001-000/5 1 Lot No-
Site Plan Name: Block No.
Project Name:
Setbad:s Fro.-it Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace n ieter center with a combo pack
CTION INFORMATION:
Additiona worktobepertormed under this permit—clec,all apply:
DHVAC Gas Tank Gas Piping _ Windows/Doors
ZE;ectric Plumbing OSprinklers 1i Generator F] Roof
Tota'Sq. Ft of Construction: Sq-Ft. of First Floor.
Cost of Zonstr_ction:$ o Utilities: FISewer F Septic Building Height-
OWNER/LESSEE: CONTRACTOR:
Narr e Wynne Building Corp. Name: James W Law
Address: 8000SUS# 1 Suite 402 Company: Law's Electric, Inc.
City: Port St. Lucie State: FL Address: 218 Beach Avenue
Zip --ode: 34952 Fax: City: Port St. Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-B78-3347
E-IV ail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aoi.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-
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
I DESIGNER/ENGINEER: / Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address: -7-77—
City:
,7
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: j/ Not Applicable BONDING COMPANY: Not Applicable
Name: Marne:
Address: Address:
City: pity_
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit
St-Lucie County 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 prohibit such
structure.Please consult with your Home Owners Association and reOew your deed for any restrictions which may apply-
In consideration of the granting of this requested permit,I do hereby agree that I vnll,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,%valls,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
commencing work or recording our Notice of Commencement.
i
Si re of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY!OF SAINT LLiCIE COUNTY OF SAINT LUCIE
The for-ning instrument was acknowledged before me The fo"oing instrunre was acknowledged before me
Vi` ay of 20,,47_bp this&_,2-.0ay of 20,�by
i
.� JAMES W LAW JAMES W LAW
(Nre person acknowledging I {Name f erson acknowledging) ,
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AAU L� U )C!�;_ &_ ,,_
(Signature of Notary Public-State of Florida) {Signature of Notary Public-State of Florida 1
Personally Known '� OR Produced Identification Personally Known z—__ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No- Commission No._/_ f9� � �� {Seal
;P ANNE BROWN W LMACH ANNE BROWN WALMACN
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ISSION#FF984663 MY CO67MlSSiON FF984663
Revised 0712512014 ,°" .�` EXPIRES April 21.202049-ta��)asaayss raaaN Iti EXPIRES April 21.202D
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
6
INITIALS
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