HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date.—� Permit Number:
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RECEIVED
-Building Permit Application-
Planning
pplication
Planning and Development Services L LAUG1 3 Z0118
Building and Code Regulation Division
P
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone:(772)-462-1553 Fax:(772)462-1578 Commercial Resi
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Rf,-place meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional work tobe herformimd—under this permit p
LYIHVAC ❑ cnec"a appy:
F�Windows/Doors
Gas Tank Gas Piping Shutters Win
FV], Electric FlPlumbing 115prinklers Generator Roof
Total Sq. Ft of Construction: SO. Ft. of First Floor:
Cost of Construction- �Utilitles:L]Sewerrlseptic - Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402 Company:' Levies Electric, Inc.
City: Pon FL St.Lucie State: Address: 218 Beach Avenue
Zip Code: 34952 Fax: city: Port St. Lucie State: FL
Phone No- 772-876-5513 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: lawselecbicinc@aol-com
from the Owner listed above) State or County License: Ek0000122
if value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES]GNERJENGINEER: �NotApplicable MORTGAGE COMPANY: _✓Not.!lpplicable
Laine: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: i/Not:Applicable
Name: Name:
Address: Address:
City: Crty:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDvrr-.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.
5t 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 Ass`acration rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult With your Home owners Associatibn 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-
The foilm ing building permit applications are exempt from undergoing a full concurrency review:room additions;
accessory structures,swimming pools,fences,walls,signs,screen roams and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property_A Notice of Commencement must be recorded and pasted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recordingyour Notice of Commencement
Sign re of Owner/Agent)Lessee sigr#urt of CantractorJLicense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF _ "
j-he fnr,,5!ng instrogientwas.pSknowledg_ed before me nstn imprit was ackpowledged hefore me
thisay of 20/R hV thisay of,;5 Of �by
67
(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 AOR Produced Identification Personally Known -&-� OR Produced Identification
Type of Identification Produced Type of Identification Produced
YIFLML_ IC Juliet Law
Commission No. b`� �� °G —STATE OF FLa AMssion No.+SCD f MR' I�IOTARYPUI3l1comffiF G 046735 • - — STATE OF FI.
Expires 1'11'312020
Revised 07I1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEVED
LDATE _
COMPLETED
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