HomeMy WebLinkAboutBuilding Permit Application ALL APFLICAB'_E INFO MUST 3E COMPLETED FOR A?PLICATION TO BE ACCEPTED
DatE_. I -alj Permit Number: lx�
RECEIVED
Building Permit Application AUG 0 7 2018
Planning and PeuelopmentSern,Tces
. $T, Lucie County, Permitting
Bulling and Code Regulation C•ivision
2300 Virginia Avenue,Fart'ier•:e FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial l Residential X
PERMITAP?L ICATION FOR: Electrical
PROPOSED IINPROVEMENT LOCATION:
Address:
Legal DEScripti:)n:
Property Tax ID 4:. 1301-1 0001-000!5 =? L Lot No_
Site Plan i`!ame: Block No.
Project;Dame:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additionalworktob
eiTo-rmed under tis permit—check all tha apply:
DHVAC LSI Gas Tank ❑Gas Piping _Shutters a VdindowsJDcors
E;ectric Plumbing SprinklersGenerator 0 hoof
Tota:Sq.Ft of Construction: SFt.of First Floor:
Cost of Zorstr,_ction:$ y�j✓Oct JG> Utilities:-Sewer Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Narre Wynne Building Corp. Name_ James W Law
Address: 8007 S US#1 Suite 402 Company: Law's Electric, Inc_
City_ Port St_Lucie State: FL Address: 218 Beach Avenue
Zip Zode: 34952 Fax: City: Port St.Lucie State: FL
Phone Poo_ 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different , E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
lfvalue of cons`:ructioriis$7500 or more,a RECORDED Notice of Commencement is required.
E'd -8426-689-698 L'�£E8L8ZLLMV71 868:60 8610 6ny
SUPPLEMENTAL CONSTRUCTION LEEN LAW INFORMATION_
DESIGNER/ENGINEER: _ENotApplicable MORTGAGE COMPANY: v"NotApplicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE TITLE HOLDER: __L_✓Not Applicable BONDING COMPANY: NotApplicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
EIWNERJ CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto do the workand installation as indicated.
1 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 Home Owners Association and review your dead for any restrictions which may apply.
In consideration of the granting of this requesl6d 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 Ameridments.
The following building permit applications are exemptfrom undergoing a full concurrency review:room additions,
ar:cessorystructures,swimming pools,fences,walls,signs,screen rooms and accessary uses to another non-residential use
WARNING TO OWNER:Yourfaffureto Record a Notice of Commencement may result in your payingtwice 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
c orrimencing work or recording our Notice of Commencement.
sign re of Owner/Agent)Lessee Sign ure of Contractor/License Holder
STATE OF FLORIDA r STATE OF FLORIDA
COUNTY OF �V COUNTY OF
The-birsc ng instn� nt was a&knowlecl d before me The for mg instrrmPnt was;Ick owledged before me
thiS.arZ day of t ZDV y' thirty 4a ay o - D by
(Name of person acknowledging) (Name of person acknowledging)
(Sr atur of Notary Public-State of Honda (Sibfatuib of Notary Public-State of Florida}
Personally Known ✓OR Produced Identification Personaliy Known ✓ OR Produced identification
Type of Identification Produced 1 r r �D11131_t2w T pC of Identification Produced
Mal STATE OF FLd o Juliet Law
Commission
No l=C4 0��Z�� 3ssion No �G d NOTARY PUBLIC
COIM*GC-
Expires 1 113!2020 a STATE OF FLC{ A
Revised 07/15f20I4 E*res 111312 0
REVIDAIS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECE€V Efl
DATE .
COMPLETED
17•d LtbCC8L8ZLLMVl 136C:60 26 LO End