HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:��� 1,l4' Permit Number.
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REC V0i5
Building Permit Application[ MAR 0 4 �9
Planning and Development services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 X
Phone:(772)462-3553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: '
Legal Description:
Property Tax ID#: 70/- C ek:f Lot No.
Site Plan Name-
4 Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DMILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
AdditionalworKtOng_iJerformed under tis -checkpermit a appy:
n
j—..1HVAC Gas Tank []Gas Piping ''_Shutters Windows/Doors
Electric IDPlumbing QSprinkiers I�.l Generator 0 Roof
Total Sq.Ft of Construction: Sq_Ft.of First
jjJl
FFl�lor.
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Cost of Construction:$ Q ^. Utilities:LJSewer L septic Building Height:
OWN'ERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address• 8000 S U5#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: 772-878-334.7
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: [artiselectrsclnc@aol_com
from the Owner listed. above) State or County License: E:R0000122
if vaiue of construction is$25W or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNEIVENGINEER: Not Applicable
MORTGAGE COMPANY: _✓ Not Applicable
Name: Name:
Address. Addresi.7-
cit1r. State: cfty-* State:
Zip: Phone:— Zip: Phone:
FEE SIMPLE TITLE HOLDER-. _j/ 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 priorto the issuance of a permit.
St Lucie Counn-okes no representation that is granting a permit wits authorizetheermit holder to build the subject structure
which isinconflictwitti any applicable Homeowners Asgodation rules,bylaws or andcovenants 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 I 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 roams and accessory uses to another non-residential use
WARNING TO OWNER:Your Wilure 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 y2ur Notice of Commencement
Si tune of Owner/Agent/Lessee STI tore of,Contractor/LiCanse Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was ackpowledged before me The forgoing instrument was acknowledged before me
this day of 28a by this l/ day of 20,/2 by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
{Sgrt �- df Notary Public--State of Florida) {Signature ofNotary Pubtic-State of Florida)
Personally Khown—OR'Produced Identification— Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produce
Commission 0.-GG 046735 NOTARY p Jwk*Law
nN TE mmission No. GG046735 W��
STATE,OF FL Ir)A NOTARYPUBLIC
Ccrrsm#OG STATE OF FLOR15
Revised 0711512014 empires 11113/2020
Expires
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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