HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC B:_E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatEPermit Number: u
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pier:--e FL 34982
Phone:(772)462-1553 Pax: (772)462-1578 Commercial Residential X
!PERMIT AP '?ICATION FOR: Electrical
,PROPOSED INPROVECM�ENT LOCATION-
Address: ��// �,� �JJL _-
Legal DEscripti:)n:
1 Property Tax ID#: 1301-111-0001-000/5 =? L Lot No.
Site Plan Name: Block No.
Project:Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
AWitional work toe opm rmed under tis permit—check all t=apply:
F1HVAC Gas Tank E]Gas Piping - Shutters Q Windows/Doors
PiElectric F Plumbing Sprinklers F1 Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Constr_ction:$ Utilities: _Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 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 No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-(Vail: 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
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: e/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name-
Address: Address:
city: State: City: State:
Zip: Phone: Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I 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 deed for any restrictions which may apply.
In consideration of the granting of this requested permit I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from 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 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 posted on the jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
i -
nature of Owner/Agent/Lessee nature of Contractor/License Holder
i
STATE OF FLORIDA STATE OF FLORIDA
',COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_1 day of 20-/!-(fby this_a4day of 1."Tart,26(g`by
_ -— - - V
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person ledging)'
I -
(Signature of tary Public-State of Florida) (Signa e f Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Juliet
Commission No. GG 046735 ( NOTARY P AlblOrnission No._ GG 046735 t JuNet Law
STATE OF LORIQA NOTARY PUBLIC
E
Comm#GG D48736STATE OF FLORI
Expines 11/13/2020 COMM#00048735
Revised 07/15/2014 Expires 11/13/20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE,
INITIALS