HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB*-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date
Permit Number:
"C01VED
Planning and Development-Sen4ces Building Permit Application JUL 2 3 2018
Building and Code Regulation Division
2301,Virginia Avenue,Fort Xer--e FL 34982 ST. Lucie County, Permitting
Phorie- (772)462-1553 Fax:(772)462-1578 Commercial Residential
PERIAIT AP?L ICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATIOW ,
Address:
Legal DEscripti:)n-
Propertv Tax ID 4: 1301-111-0001-000/5 Lot No_
SitePlan Name:- Block No.
Project-Name:
Setbacks Front Back: ------Right Side: Left Side:
DETAILED E)ESCRIPTIDN OF WORK:
Replace meter center with a combo pack
Cor r-TION INFORMATION:
Additional work to be Pertormed under tFits permit—check all thai apply:
HVAC U Gas Tank E]Gas Piping ]Shutters E]Windows/Doors
Electric Plumbing OSprinklers loGenerator Roof
Tota;:Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost ofConstr-.:ction:$ Utilities:0SewerF leptic Building Height:
OWNERILESSEE: CONTRACTOR:
Name Wynne.Building Corp.. Name: James W Law
Address. 80[0SUS;# 1 Suita402 Company: Law's Electric, Inc.
City: Port SL Lucie State: FL Address 218 Beach Avenue
Zip Mode: 34952 Fax: City: Port St. Lucie State: FL
Phone F40. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Wail- Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc(§aol.corn
from the Owner listed above) State or County License: ER0000122
lfvalue ofcons:xvcfian is$2500 or more,a RECORDED Notice of commencement is required.
O'd 117009Z8ZLLAAVI '3zt':66 86 CZ Inr
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER; NotApplicable
MORTGAGE COMPANY: 11 Not Applicable
Name: Name:
Address: Address: %
City: -State. City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _V_Not Applicable BONDING COMPANY. y/!?dot Applicable
Name: Name:
Address: Address:
city., City:
Zip: Phibne: Zip: Phone:
I certify that no work or insWilation 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 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,wags,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 Jobsfte
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
-commencing work or recording your Notice of Commencement.
Sire of owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The ibrpolng instrument was acknowledged before me The 16:soing instrument was acknowledged before me
this ay `0— _P_a thiu.9.11ay of g-by
0 . 10 20 ZF-by 120AC
JAMES W LAW JAMES W LAW
e f person acknowledging (Name ersork acknowledging)
(Signature of Notary Public-State of Florida (Signature of Notary Public-State of Florida
Personally Known ' OR Produced Identification Personally Known 't OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No..LLZWe1K_ Commission No._,/-/:�'&-2�7'� (Sea-Q-
AIM
NEBROWN W LMACM
ANNE BROWN WALMACIj I
r COMMISSIO
#FF9846&3 My COMMISSION#FF984663
Revised 07115/2014
Nor EXPIRES April 21.2020 EXPIRES April 21,2020
NO no-DI F*WN
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION
ON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
V'd 6 86 CZ Inr