HomeMy WebLinkAboutBuilding Permit Applicationi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /YO-7, V 00
Date: � tC r ,,2 �;ep Permit Numb r
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Building Permit Application JUL 2 2018 �
Planning and Devela0mentServices
Budding and Code Regulotion. ivision Permitting Department 1
2300 Virginia Avenue,Fort Pierce FL 349.92 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential ;
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:*
Address: �v a+-- Q
Legal Description:
Property Tax ID#: 3414-501-1701.-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks front Bark: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack.
CONSTRUCTION INFORMATION:
11
itiona wor c to (e�e 1 Gorme under is permit—check a appy:
HVAC L_ as Tank
-las Piping _Shutters ❑Windows/Doors
9'r Electric 0 Plumbing Sprinklers a Generator F] Roof
Total Sq.Ft of Construction: S . of First Floor:
Cost of Construction:$ ap7o 6, ->C) Utilities:cnSewer Septic Building Height:
OWN ERAESS EE: CONTRACTOR:
Name Wynne Building Corp. Name- .lames 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. 772-9714512
Fill in feesimple-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 construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _NotApplicable MORTGAGE COMPANY: -'NotApplicable
Name: Name.
Address: Address:
City: State: City State:
Zip: Phone: Tap: Phone:
FEE SIMPLE TITLE Hflf.DER: —,/Not Applicable BONDING COMPANY: �NotAppiicabte
�:9
Warne: Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
OWNER1 CONTRACTOR AFFIDVIT:.Application is hereby made to obtain a permit-to do the work and installation as indicated.
I terrify that no work or installation has commenced priar to the issuance of a permit.
St Lucie Counte�yr makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con#Iict with any applicable Home Owners Association rules,bylaws or and rovenants that may restrict or prohibit such
structure.Please consult vAth your Home Owners Assodatibn 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 CoiintyAmendments.
The following building permit applications are exemptfrom undergoinga 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
commencin work or recordirinvour Notice of Commencement.
Siature of Owner/Agent)Lessee §16ature of Contractor/License Holder
STATE OF FLORIDA - SPATE OF FLORIDA
COUNTY OF Ll 1C1E COUNTY OF ST. LUCIE
The fo ping instrument was acknowledged befbre me The forgoing instrument was acknowledged before me
th' ,day of j z4ts—_ :20f„2:by thisday
JAMES W LAW JAMES W LAW
(Name of person adwan4edging} (Name of person a'`eltt fledging)
(signatu Notary Public-State of Florida] (Ssgnature o Alotary Public-State of Florida}
Personally Known '•✓ OR Produced identification Personally Known '" OR Produced Identification
Type of Identificatlon Produced Type of Idenrtrfication Prodwed
Commission No. I JuOe< Law Commission ivo.(rGn � (Seal)
NOTARY PUSLI Juliet Law
VARY mu PusUC
Revised 07/15/2014 Comrra4f O� A Q04e� w STATE OF FLORIDA
Expires 11j,&=, Comm pp
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MAWVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
RECEIVED
DATE
COMPLETED
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