HomeMy WebLinkAboutbuilding permit application ALL APFLICAB"-E INFO 11 UST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED l ��" 7 T3
Permit Number:
Building Permit Application RECEIVED
Plcnning and C►evelopmentSenlices MAY 1 5 1Q18
Builc'ing arZd Code Regulation Division
2300 Virginia Avenue,Fort,"fierce FL 34982 Permitting ceiar"(_"
Court
Phc:ie: (772)462-1553 -ax:(772)462-1578 Commercial Residential st Lre
PERMIT AP:)'ICATION FOR: Electrical
PROPOSED INPROVENIENT LOCATION:
Address: ? -
f Legal DEscripti Dn:
Property Tax ID##: 130'-111-0001-00015 ? Lot No_
Site Plan Fame: Block No.
Project Name:
Sethacls Fro-it Sack: Right Side: Left Side:
DETAILED DESCRIPTION OF VVORK:
Replace meter center with a combo pack
COP�5TRUCTION INFORMATION:
Additionalwor to e e rme under tis permit—check a t apply:
HVAC Gas Tank DGas Piping _Shutters Q Windows/Doors
EE;ectric Lei Plumbing Sprinklers a Generator Q Roos
Tota'Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Constriction:$ S-00, 00 Utilities:[]Sewer FSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Narre Wynne Building Corp. Name: .lames W Law
Address: 8000 S US#1 Suite 402 Company: Laws 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: 772-878-3347
E-IV ail: Phone No_ 772-971-4512
Fill in fee simple Title Haider on ne).:t page(if different E-Mail: lawselectricinc@acl_cam
from the Owner listed above) State or County License: ER0000122
if value o;cons'suction is 52500 or more,a RECORDED Notice of Commencement is required.
s
1
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Not.'kpplicable
Mable: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: I/Not Applicable BONDING COMPANY: -.,- Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Horne 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.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
commencing work or recording our Notice of Commencement.
Sign re of Owner)Agent/Lessee Sig re of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ? COUNTY OF
Thefare ing instru want was agknowleciggd before me The forEoing instn—praVras acknowledged before me
thisay of f 201 y thia4-Lday of... Of ;by
(Name of personnacknowledging) (Name of person acknowledging)
{
{Si atur of Notary Public-State of Florida) (Si atu)t of Notary Public-State of Florida) !
Personally Known t/OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced S T pe of Identification Produced
t IG Juliet Law
Commission No. G'0 �� STATE OF FLS sion No. 6&Q NOTARY PUBLIC
0 046735 STATE OF FLQ A
Ex ices 1'/1312D20
Revised 07/15/2014 S�ryee ° Expim 11113!2 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
9-d -8926-199-l99 LKC2LKLLMb''1 l l 96 96 AeW