HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB;E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE.- "—'z/g Permit Number:
":• ;;<:' :;,.t,`. RECEIVED
Building Permit Application MAY 15 7018
Planning and DevelopmentSenrices PermittingDe
Building and Code Reguiction Oivision St. Luie ountyent
2300 Virgin iaAvenue,Fort Pier•--e FL 34982
Phone:(772)462-1553 Fax. (772)462-1578 Commercial Residential X
PERMIT AP?_ICATiON FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address:.__.�C� h/C
Legal DEscripti)n:
Prcpemr Tax 10#: 130 i-111-0001-00015 ? L Lot No.
Site Plan I'!ame: Block No_
Project name:
Setbacis Fro-it Back: Right Side: Left Sid e:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
STRUCTION INFORMATION:
Additional work to be nerformed under this permit—check all tbat appy:
HVAC Gas Tank E]Gas Piping []Shutters Q Windows/Doors
LY 1 E;ectric L�i Plumbing Sprinklers a Generator 11 Roof
Tota'Sq. Ft of Construction: S Ft.of First Floor:
Cost of Constr_ction:$ J �� JG Utilities:ISewer DSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Nacre 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 :ode: 34952 Fax: City: Port St-Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 pax_ 772-878-3347
E-.Nail: Phone No. 772-971-4512
Fill in fee simple Title Holder on ner:t page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
if value of cons+:ruction is 52500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA11ON:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
qty: State: City: State:
Zip: Phone: Zip: Phone:
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 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,l do hereby agree that l will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Godes 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.
SigrQture of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The fomoing instrument was acknowledged before me
this ay of 20/?—by thisfL;bayof 20.d.by
JAMES W LAW JAMES W LAW
(N a �'t�
person acknowledging) J (Name f erson acknowledging
)
J"/,
-L " Y V
(Signature of Notary Public-State of Florida) (Signature of Notary Public State of Florida)
Personally Known OR Produced Identification Personally Knowny OR Produced Identification
Type of Identification Produced Type of identification Produced
Commission No. ..6G ' Commission No.
ANNE BROWN W
LMA J"' " ANNE BROWN WALMACH
t;VMNSSIGN#FF984663 COryl
MMIS&tON At FF9B4S63Revised 07115/2014 EXPIRES April 2i,2020o��e-0753 Flom �My
EXPIRES Apel 27,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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