HomeMy WebLinkAboutBuilding Permit Application ALL APFLI:AB_E INFO TY OST 3E COMPLETED FOR APPLiCATION TO BE ACCEPTED 11(j, rP O O 5$
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RECEIVED
Building Permit Application JUN 0 4 2018
Planning and Development-Services Permitting Department
Builcinrd and Code Regulation E vision
2301-Virginiafivenue, Fort l"'ier.eFL 34982 St. Lucie County, FL
Phone: (772)462-1553 rax_(772)462-1578 Commercial Resl en la
PERMIT AP:)I ICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:.
Address: `
Legal Dcscripti in:
i Propertv Tax ID#: 130`:-111-0001-00015 ? (_ Lot No_
Site Plan Mame:
Block No.
Proje:t Name:
Setbacks Fro it Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
COPISTRUCTION INFORMATION:
-Additional work to be Performedun ert ispermst—check all tbat appy:
11HVAC U Gas Tank Gas Piping _Shutters Windows/Doors
ZE;ectric Plumbing Sprinklers r Generator a Roof
Tota'Sq_Ft of Construction: SQFt. of First Floor:
Cost of C-:)rstr_ction:$ Utilities: L—JSewer LJSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Narre Wynne Building Corp. Name: James W Law
Address: BOCO S US#1 Suite 402 Company: Law's Electric, Inc. f
1
City: Port St.Lucie State: FL Address: 218 Beach Avenue 1
Zip --ode: 34952 Fax: City: Port St. Lucie State: FL
Phone X30. 772-878-5513 Zip Code- 34952 Fax: 772-878-3347
E-iV ail: 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
if value of cons`:ruction is$2504 or more,a RECORDED Notice of Commencement is required.
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SUPP_EMENTALCONSTRUCTION LIEN LAW INFORMATION-
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY_ ✓Not.Applicable
;dame: Name.-
Address:
ame:Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: _/Not Applicable BONDING COMPANY: c/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.
I cert&I 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,I do hereby agree that 1 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 Sign ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF COUNTY OF
The fnreging instniment was agknowledged before me The foreoing instn—rkt vas acky�owledged before me
this,.�`fday of. __T �r� thik��-day of tri,x 70J.Z;,by
(Name of person acknowledging) (Name of person acknowledging)
( i aftur'LIV Notary Public-State of Florida) (Si to of Notary Public-State of Florida)
} Personally Known ✓OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced T pe of Identification Produced
IC Jubet
Commission No. (s^O �� o hSTATE OF Ldssion No. �G NOTARYbBU
Com"GE 046735 - o STATE OF FL9R i A
s
Expires 1 113/2020
Ret2sed 07115/2014 y s�HCE 9 Expires 11113(2 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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