HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 0219 Permit Number:
RECEIVED
Building Permit Application FEB 2 6 2019
Planning and Development Services
Building and Code Regulation Division ST, 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 iNPROVEIb1ENTp�LOCATIOIV:-
Address:
. O
Legal Description:
Property Tax ID#: 1301-1'11-0001-000/5 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:
Additional work toe e orme under tis permit—c ec a apply:
HVAC E]Gas Tank ❑Gas Piping _Shutters a Windows/Doors
aElectric 0 Plumbing Sprinklers Generator a Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ � Qf'C'0 y 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 Code: 34952 Fax: 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 Rage(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: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name-
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
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 1 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.
s0fat6re of owner/Agent/Lessee Whature of Contractor/License Holder
STATE OF FLORIDA = STATE OF FLORIDA
COUNT'S OF SAINT LUCIE COUNTY OF SAINT LUCIE-- .
The forgoing instrum nt was acknowledged before me The forgoing instrurren•was acknowledged-before me
this day of 20 by this-a..S'day of 20by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)*
(Signa o Notary Public-State of Florida) (Signet Notary Public-State of Florida)
Personally Known OR-Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of identification Produced
Juliet Law
Commission No. GG 046735 c NOTARY PLIBL iTommission No._ GG 046735Juliet Lary
STATE OF FLC RIPA NOTARY PUBO
Comn*GGOM 735 MSTATE O A
Expires 11/13/2020 s' Comms x00073
Revised 07/15/2014 Expires 11/13/2 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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