HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: r� oZa/ Permit Number:
RECEIVED
Building Permit Application OCT 0 2 2018
Planning and Development Services ST. Lucie County, Permitting
Svilding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSEb INPROVEMENT LOCATION:
Address: la A
:51—
Legal Description:
Property Tax 1D#: 1306-111-0001-00016 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 at each address
CONSTRUCTION INFORMATION:
Additionai work to flasTa' nk
orme un er
t is permit—c ec a app y:
HVAC OGas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq_Ft of Construction: Sq. Ft
j LJof First Floor:
Cost of Construction:$ • dd' Utilities: LSewer Septic Building Height:
OWNER/LESSEE: CQNTRACTOR:
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 Fax: City: Port St. Lucie State: FL
772-B76-5513 34952 772-878-3347
� Phone No. Zip Code: Fax:
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 above) State or County License: ER0000122
if value of construction is$250D or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION.-
Applicable
FDES]G NERIENGI NEER: :A J�le
Name_ Not Applicable MORTGAGE COMPANV.- _j:::fN of A -able
Name: ppliL
Name:
Address:
City: Address:
Zipr- State: City. e---
Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicabie- BONDING COMPANY: ;,-Not Applicable
Name: Name:
Address-_ Address:
City: City.,
,
Zilp: Zip: Phone:
QWNERJ CDNTRACTOR AFFIDVIT'.Application is hereby made to obtain a permitto do the workand installation as indicated.
l.certifythatno 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 ruin,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your dead for any restrictions which may apply.
19 consideration of the grarrting ofthis requested permit,I do hereby-agree that I well,in all respects,perform the work
in accordance With the approved plans,the Florida Building Codes and St Lucie County Amendments.
Tiie fallowine building permit-applications are exempt from undergoing a full concurrency review:room additions;
accessory structures,swimming pools,fend walls,signs,screen moms 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
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 recordiriRvour Notice of Commencement.
Sign re of:)wner/Agent/Lessee Sigiyffirre of Contractor/License Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF 42 COUNTY OF .1-0,
The forgoing insEtrIlt was acknowledgge-d.before me The foreoing instno wledged before me
,� �OSar*riov!1120, 11�be a this. qday ofr' Uo
-by
y
62?Q
71 4--ow Ke AtJ
(Name of person acknowledging) (Name of person acknowtedg7ing)
_1
7.(s5—ratE of Notary Public-State of Florida i [Sibia-C of Notary Public-State of Florida)
Personally Known. —"^*-OR Produced Identification Personally Known—i--- OR Produced Identification
Typeof identification Produced- S e of Identification Produced_
U;BC Juliet Law
Commission No.C=C_n!2�& -STATE OF FLd735 li-ftsion No- OV -7-3-s- 41. W)TARY PU.BLIC
Expires 1'11312020 STATE OF FLRR I A
GC_00 - -
Revised 07115/2014 - Expires 11113(21 0
REVIEWS FRONT ZONING SUPERVISOR '; PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-RECEIVED
COMPLETED
Z,d -896-699-699 e89:20 86 zo PO