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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date- Permit Numbe : -hm D y w {v JUL 2 5 2018 ..�_.,,:�=�---� Building Permit Application Permitting Department Planning andDevelopmenrServices St. Lucie County, FL Building and Code Reguiation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical El- PROPOSED INPROVEMENT LOCATION: Address: Legal Description: Property Tax lD#: 3427-111-0002-000/5 Lot No Site Pian Name: Block No. Project Name: Setbacks Front Back: RightSide: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: Additional work toe o2rrormed under this permit—check a appy: E1HVAC 06a-sTank ❑Gas Piping _Shutters LQ Windows/Doors Electric E3Plumbing Sprinklers n Generator a Roof Total Sq_Ft of Construction: SCI.Ft_of First Floor: Cost of Construction: 60, C9c-,) Utilities:0Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: .tames W Law Address: $000 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. 772-971-4512 Fill in feesimple Title Holder on next page(if different E-Mail: lawselectdcinc@aol.com from the Owner listed above) State or County License: ERC000122 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 8'd -8526-699-695 Ltp,09L8ZLLMV-1 dto:Z6 96 9Z Inf SUPPLEMENTAL CONSTRUCTION LIEN LAW IN FORMATION: DESIGNERIENGINEER: /,_,_Not Applicable PAWITGAGE COMPANY: :2'Not Applicable Name: Name- Address: Address: city- State: City: State: Zip., Phone: Zip: Phone: FiME SIMPLE TITLEHOLDER: z' Not Applicable BONDING COMPANY: Not Applicable Name., flame: I Address: Address: City- City: Phone: T,p,- Phone: Zip: OWNER/CONTRACTOR AFF1111VIT.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 such perform the work permit holder to build thesubject structure St.Lucie bits vulch is m cariiiictvutth a applicable Home Owners Assoraatton rotes,Irytaws ar and covenarrts that may restrict or in consideration of-the granting of this requested permit,I do hereby agree that I will,in all respects in accordance with the approved glans,the Florida Building Codes and St-Lude 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 OWNElk Your failure to Record a Notice of Cominencernent way result in your paying twice for improvements to your property.A Notice of commencement must be recorded and posted on the joWite before the first inspection.If you intend to obtain financing,consult with lender or an attorney before commencing ark or recordiriffyoto Notice of Commencement. 5' azure of Owner/Agentl LesseeWnature of ContractorlUcense Holder STATE CIF FLORIDA STATE OF FLORIDA COUNTY©F ST.WCIE COUNTY OF ST.LUCIE The forgoing instrument was acknowledged-before me Theforgoing„, me this ay JAMES W LAW JAMES W LAW (Name of person admovAkadgirg) (Name of person AMM61edging) (ST,igT1 - lim- (Signature Notary Public-State of Florida) n NoteryPubF�t f personally Known OR Produced Ideritflication Personally Known lv**” OR Produced Identffication Type of Identification Produced —7 Type of Identification Prodned_ com ff Assil a n No-��b JtAet Law Commission (Sea]) NOTARY pUSUI 4MR46 Aft Law I ATE OF FLOROA NUFARYPuatje Revised 0711512014 • CWvWGG048M- STATS OF FL0ftj0A Expires 9111 flon CoMrf*04104MM' Cxplres 11/131 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MA MVE L Ynm 1"n'jo- Rmsed 0711 COUNM REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED rcOMPP LET LETEI. dVo:ZI, 9L 9Z Inr