HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAKE INFO MUS7 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
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Permit Number:
REC ED
EIVED
Building Permit Application
1 0
Planning and DevelopmentSenrices AUG 0=7 2018
Building 2nd Code Regulation Vivision ST. Wl;ha county, Permitting
230V Virginia Avenue,FortXer.::e Ft 34-982
Phone: (772)'462-1553 Fax:U72)4621-157.3 Commercial Residential X
PERMIT AP.PILICATION FOR: Electrical
PROPOSED MROVEMENT LCICATION:-
Address:
Legal Descripfi:)n:
Propertti Tax ID-#:
1301-111-0001-00015 =a Lot No_
SitePlan l Iame: Block No.
Project Name:
Setb3CI:S Front Back:—Right Side: Left Side:
DETAILED EIESCRIP TION OF WORK:'
Replace meter center with a combo pack
LCOiJSTRUCTION INFORMATION:
Aciditionalwont tobe-o-e-rfoi;-m-ecI under this permit—check all apply:
F1HVAC Gas Tank 7Gas Piping tnShutters VtlindoWs/Doors
WIE'ectric Plumbing 0 Sprinklers FIGenerator Roof
Tota'Sq.Ft of Construction: Sq.Ft of First Floor:
Cost of-__Dnstr_-ction.-$
L2 0,-/,;— Utilities: Sewer
Septic Building Height.
OVv*N ER/LESSEE: CONTRACTOR:
Name Wynne Building Corp- Name- James W Law
Address: 8000SUS#1 Suite 402 Company: 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 r4o_ 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on nex.t page(if different E-Mail: lawselectriciricaiaol.com
from the owner iisted above) State or County License: ER000()122
if value of cons:ruction is$25130,or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
QE51GNE1ZEE111CINEER: V IVotApplicabfe MORTGAGE COMPANY: v-"'NotApplicable
Name: Name:
Address: Address:
City: State: City: state--
Zip:
tate:Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _/riot Applicable BONDING COMPANY: ;/Not Applicable
Mame: Name-
Address:_ -- - Address:
City: may_
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and-installation as indicated_
l.certify that no work or installation has commenced prior to the issuance of a permit.
St_Lucie County makes no representation that is grantingg a permitwill authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Asl:, adon 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-
T6 foiloiding
mendments_Thefoilowing building permit applications are exemptfrom undergoing afull concurrency review:room additions,'
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yuurfailure to Record a Notice of Commencement may result in your paying#vice 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 attomey before
commencingwork or recording our Notice of Commencement.
Sign re of Ownerl Agentl Lessee Sig ure of ContractorlUcense Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF - r COUNTY OF cri
the fnraging instni ntwasknowledged before me The forepinginstrnmPnr�ackpowledged before me
this. -:day of2Uf y this: ay o . k7f, Eby
(Name of person acknowledging) (Name of person acknowledging)
{ i atur of Notary 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 Type of Identification Produced
NOTARY. IC Juliet Law
d _STATE OF FL6 lion.No_ frL7 NpTARYPilBl1
Commission No. G 04673
aWE %
STATEOF FLRA
Expires'
1'11312020
Expires 1111312 0
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW : REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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