HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAKE INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE: �ULL _,zo—7— _/S Permit' r.Numbe
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Building Permit Application RECEIVED
Planning and DevelopmentServices
Building and Cade Regulation DivisionJUL 2 3 2018
2300 Virginia elvenue,Fort tPlier--e FL 34-982Per��
Phone:(772)462-1553 Fax:(7771)462-1578 Commercial Resi!C1
PERl%AITAP?LICAT.1ON FOR: Electrical
PROPOSED INPROVEMENT LOCATION:-
Address:
Legal DEscripti in:
Properv.Tax ID#: 130II-111-0001-ODC/5 Lot No_
SitePlan Name: Block No.
Project'Mame:
Setbacl.'s Frorit Back- Right side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
71ON INFORMATION:
Additional work to be Derformed under this permit—check all tbal apply:
0HVAC LJ Gas Tank OGas Piping -_Shutters Windows/Doors
Electric Plumbing 0Sprinklers liGenerator Roof
Tom'Sq-Ft of Construction: Scl.Ft.of First Floor:
Cost of r-an.strl--ction:$ Utilities:F ]SewerFleptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name , Wynne Building Corp. Name: James W Law
Address; 8000SUS#1 Suite402Company-
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- 772-8713-5513 Zip Code: 34952 Fax: 772-878-3347
E;-Wail: Phone No. 772-971-4512
Fill in feesimple Title Holder on next page if different E-Mail: lawselectricincgaol.corn
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: V Not Applicable MORTGAGE COMPANY: ✓.Not 1lpplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Nat 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 permitto do the work and installation as indicated.
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 Horne Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit,1 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 sign ure of Contractor/License Holder
STATE.OF FLORIDA STATE OF FLORIDA
COUNTYOF
COUNTY OF
The fore^ing instrument wad agknowledged before me The forgoing instrurognt was acknowledged before me
this��day of ��,zU/ by thiay of z(lZO-by .
_ J
(Name of person acknowledging) (Name of person acknowledging)
4t5laturVa4fftry Public-State of Florida) (Si atu of Notary Public-State of Florida)
Personally Known ✓OR Produced identification Personally Known OR Produced Identification
Type of Identification Produced V. J Type of Identification Produced
NOTARY Prl 3LIp Juliet Law
Commission No. �'� sSTATEOFF gRtM> issionNo. 66-0 � ° NOTARYPUBLI
Cw-n#GCO 16735 - STATE OF Fi A
Ex
-S�ncF 9 Expires 111131.21:20
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEWREVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
CONIPLETED
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