HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED TaS
Dat _ ��f Permit Number:
0 20
r111� 1
+• , - RECEIVED
v Building Permit Application
MAY 0 7 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce Ft 34982 _- .-
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical a
PROPOSED INPROVEMENT LOCATION:
Address: -
Legal Description:
Property Tax ID#: 3414-501-1701-000/9 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 at each address
CONSTRUCTION INFORMATION:
Additional work to be performed under tispermit—check all that appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing 05prinklers Generator Roof
Total Sq. Ft of Construction:: S Ft.of First Floor:
Cost of Construction:$ ! D C� Utilities:DSewer Septic Building Height:
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: City: Port St. Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
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
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Add rens: Address: ti
City: State: Clty: State:
Zip: Phone: Zip: Phone:
1 FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address- Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to 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 Assoclation 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 I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lupe 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
commencinR work or recording our Notice of Commencement.
Si re of Owner/Agent/Lessee Signature of Contractor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY-Of- SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The fo:%oing instrurnent was acknowledged before me
thi y of ZZ22a20 IF—by this c.L •-lay of 2040-by
,TAMES W LAW JAMES W LAW
(N a of person acknowledging) I(Nannaefson acknowledging)
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known `/ OR Produced Identification Personally Known 4__ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. G Commission No.__/��9�'� �3 (Seal)'
ANNE BROWN W LMACfi ANNE BROWN WALMACF3
SSiON#FF9$46fi3 "c MY COMMISSION#FF9E4663
Revised 07/15!2014 EXPIRES April 21,2020
tao�1 tie-0�s� pN n ! aoiaa,� EXPIRES Apn121.2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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