HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: Permit Number: 1 1 —00
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FRECEWED
Building Permit Application
Planning and Development Services 2 2018
Building and Code Regulatlon Division 5T, Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: �� f
Legal Description:
PropertyTax ID#: 130i6111-0001-0001 O Lot No.
Site Plan name: Block No.
Project Name:
Setbacks Front Back Right Side: Left Side:
FE)ETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack., .
CONSTRUCTION INFORMATION:
il,ciclil3onalworictobanertormed un-derthispermit—check all thid appy:
HVAC 06asTank QGas Piping I Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers a Generator Roof
Total Sq.Ft of Construction: SFt of First Floor:
Cost of Construction:$ ��C�-c�cJ Utilities:i 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 Code: 34952 Faz: City: Port St. Lucie - -State: FL
Phone No. 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 abovel State or County License: ER0000122
If value of construction is$250D or more,a RECORDED Notice of Commencement is required.
9'd -89Z6-1,99-699 LV0S9Z2ZLLMVI 869:90 86 ZO 100
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: V_,�Not.!lpplicable
Nam e: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: I/Not Applicable BONDING COMPANY: ✓Not Applicable
Name: Name:
Address: Address:
City: City:
T(p: Phone: Zip: Phone:
OWNER)CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto do the work and installation as indicated.
I certify th at no worts or installation has conunenced prior to the issuance of a permit
St Lucie County makes no representation that is granting a permitwill authorize the permit holderto 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 Horne Owners Association and review your deed for any restrictions which may apply_
id consideration of the granting of this requested permit,l do hereby agree that l vall,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St_Lucie County Amendments.
The following building pen-nit applications are exemptfrom 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
irilprovements 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
Signa re of Owner/Agent/Lessee Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA .
COUNTY OF � F'.� COUNTY OF
The forwing instru. t s.a knowledged before me Theforaoing instni s a nowledged before me
this, day of t�f J.20% y thi �iay of, l� R .41f?QbY
Rcm Fs (�� L. h2FC_ Gc �,A (J -
(Name of person acknowledging) (Name of person acknowledging)
(Si atu of Notary Public-State of Florida) (Sikffatu of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced 1 . IU 'taw T pe of identification Produced
_ IC - Jufiet law
Commission No. STATE O FL glon No. GG--d NOTARY PUeil
COMM#GC.046736 - o STATE OF FLq A
Expires 1'11312020
Revised 07/15/2014 Expires1111312 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE !MANGROVE
TCOUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
L.g
9'd -89Z6-699-699 1VSC8L8ZLLAAV" a69:80 81- ZO 100