HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB'E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date ; t� /� Permit Number.
z: RECEIVED
Building Permit Application
AUG 0 7 2018
Planning and DevelopmentSen+ices
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Orginia Avenue,Fort Pierce FL 39982
Phone:(772)462-1553 Fax: (772)462-1578 CommerCl81 Residential X
PERIdiIT AP?I ICATION FOR: Electrical
PROPOSED INPROVENIENT LOCATION:-
Address:
Legal Descripti:)n:
I
Propertli Tax ID#: "130'-111-0001-000/5 =? ( Lot No.
Site Plan Name: Block No.
Project:Varna:
Setbacls Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace nieter center with a combo pads
LCOPISTRUCTION INFORMATION:
Litiona workto e e orme under tis permit—checec a appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
1 2E;ectric ElPlumbing Sprinklers FIGenerator Roof
Tata'Sq. Ft of Construction: Sq.Ft.
j of First Floor:
Cost of=onstr:ction:$ J 0— JG Utilities:LJ Sewer 0Septic Building Height:
O)h'N E R/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: .lames W Law
Address: 8000'S US#1 Euite402 Company:' Law's Electric, Inc.
City: Port St.Lucie State: FL Address: 218 Beach Avenue
34952 Port St.Lucie State: FL
Zip ode: Fax: City:
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Nail: Phone No. 772-971-4512
Fill in fel simple Title Holder on ne}:t page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
if value of cons`:ruction is 82500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DES]GNERJENGI NEER: �NotApplicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: I/Not Applicable BONDING COMPANY: c/Not Applicable
Name: Name:
Address, Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced priorto 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 conflictwith any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Assoclatian and review your deed for any restrictions which may apply-
in consideration of the granting of this requested permit 1 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 fallowing building permit applications are exemptfrom undergoing a full concurrency review:room additions,-
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
itiiprovements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectiori. If you intend to obtain financing,consult with lender or an attorney before
commencin work or recording our Notice of Commencement
Sign a of Owner/Agent/Lessee Sign ure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF F COUNTYOF
The free^ing instrunt w acknowledged before me The.foraging BY
entwas acknowledged before me
ay of by thi�, �Iay of ZOf, by
to
(Name of person acknowledging) (Name of person acknowledging)
(Si atur of Notary Public-State of Florida} (Si atu of Notary Public-State of Florida}
Personally Known t/'011 Produced identification Personally Known �— OR Produced Identification
Type of Identification Produced d tea' Type of Identification Produced
OTARY OU 3LIP _ duriet Law
Commission No. 0 S STATE OFF ORtnission Na. �� r �� NOTARYPUBLICI
Comm#GGO 16735 _ STATE OF FLIR
Ex _ _
E*res 1111312 0
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Z'd -8521-699-699 Lf£C8L8ZLLMV'-1 el,C:60 81• LO 5nV