HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB'-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE: js Permit Number:
k RECEIVED
Building Permit Application JUL 2 3 2018
Planning and Development Services
Building and Cade Regulation Ch4slon, ST. Ludo County, Permitting
2300 Virginia Avenue,F6rt Pier=FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMITAP.-')ILUCATION FOR: Electrical
PROPOSED iNPROVEMENT LOCATION:-
Address:
Legal DEscriptj 3n:
Propertv Tax ID#: 1301-111-0001-000/5 Lot No_
Site.Plan Name: Block No.
Project:dame:
Setbacks Front Back: Right Si.de: Left Side:
DETAILED EIESCRI,PT!ON OF WORK:
Replace meter censer with a combo pack
COi`JSTRUCTION INFORMATION:
Additional work t-ob-e- e Orme under this permit-check 211 t=apply:
Gas Piping L I Shutters
0HYAC 13 Gas Tank � D — E]Windows/Doors
V' Electric71,Plumbing OSprinklers EJ Generator Roof
Tota;:Sq.Ft of Construction: 5Ft of First Floor:
Cost of Constr!,ction:$ Utilities- SewerFISeptic Building Height:_
O'W'NER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000SUS41 Suite402 Company: Law's Electric, Inc.
City: Port SL Lucre State: FL Address: 218 Beach Avenue
Zip --Ode: 34952 Fax: City: -Port St. Lucie State: FL
phul-le r4o_ 772-878-5513 Zip Cade: 34952 Fax: 772-878-3347
E-Nail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectridinc(paol.com
from the Owner.listed above) State or County License: ER0000122
if value of cons!.-ruction is$250D or more,a RECORDED Notice of Commencement is required_
1•d -9926-699-699 86 e2 Inr
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address: .
C-rty: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _j/ Not Applicable BONDING COMPANY: -i/—Not Applicable'
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work"installation has commenced.priorto the issuance of a permit
St Lucie Counttyy makes no representation that is granting a permit will authorize the permit isolder to build the subject strucEure
which is in cor►fiictwrth any applicable Home Owners Association rules,bylaws orand covenants that may rastrict or prohibit such
st<ucture.Please consuitwrth your Home Owners Association and review your deed fnr any restrictions whrch may apply.
In consideration ofthe granting ofthis requested permit,I do hereby agree that I will,in all respects,perform the work
in accordancewith the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exemptfrom 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 pay-mg twice for
improvements to your property_A Notice of Ctimmencement 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
commencingwork or recordingour Notice of Commencement.
Si re of Owner/Agent/Lessee Signature of Contractor/License Holder I
STATE OF FLORIDA STATE OF FLORIDA
-COUl17YOF SAINT LUCIE COUNTY OF SAINT LLICIE
Thefb-n ng inmirt—t ,;Imowiedged before me The fo doing instrurrterr s acknowledged before me
thiSay of S _ 20,(�by . thu jai►of 2Qfg-.by
JAMES W1I LAW JAMES W LAW
(N a of person acknowledging) {Name f erson acknowledging)-
(Signature
cknowledging)-(Signature of Notary Public-State of Florida) (Signature of Notary Public State of Florida)
Personally Known OR Produced Ideni fication Personally Knriwn OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. 9 ..�� Commission Ido___�� (Seal)'
- "-iltK ,ANNE BROW J
N W LMACH :+ -. ANNE BROWN WALMACH
SSION 4 FFW4663 My COMMISSION#FF984663
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALS
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