HomeMy WebLinkAboutBuilding Permit Application ALL APez.., zPLICAKE INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
L..) .)1
Building Permit Application RECEIVED!
Planning and Development Se 'ices
Building und Code Regulation Division MAR 0 5 2018
2300 Virginia Avenue,Fort Piece FL 34982 Permitting Department
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential St. qP.Hrity
PERMIT AP?1_ICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:. .
Address: ; jriVegliMPPIffi -
Legal Descripti pn:
Property Tax ID 41-: 1301-111-0001-00015 g2_ e_ Lot No_
Site Plan Name: Block No.
Project fgame:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: -
L
Replace meter center with a combo pack • -
CONSTRUCTION INFORMATION:
Additional work to bp_grormed under this permit—check all thI apply:
I I IHVAC I Gas Tank Gas Piping 'Shutters 11 Windows/Doors
Eectric
Pi Plumbing lullSprinklersT Generator Roof
Total Sq. Ft of Construction: of First Floor:
Cost of Zonstrxtion:$ c-.51,00 C.)a Utilities:I 'Sewer I-Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S #1 Suite 402 Company: Law's Electric, Inc_
City: PorfSt. Lucie State: FL Address: 218 Beach Avenue
Zip :ode: 34952 Fax: City: Port St Lucie State:fiL
Phone to 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@aoLcom
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: V Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
, FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: V 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 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 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 your Notice of Commencement.
Si .:ture o Owner/Agent/Lessee Si ature of Contractor/License Holder •
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 t,/ day of 44ii , 20 L by this Lit day of )-79cm...e...../c) ,201_2 by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
(Sign e of Notary Public-State of Florida) (Signature o otary Public-State of Florida)
Personally Known OR-Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Juliet Law
4' — ••,i, , Juliet Law
-GG 046735 NOTARY PU ICbmmission No GG 046735
Commission No. NOTARY PUBUC
ciblok STATE OF PL 10A
STATE OF FLOM!.
Comm#G 735
• • ••• . Comm#GO04673.
• Expires 11/13/2020 Expires 1 ,
Revised 07/15/2014 1/13/2vf;
REVIEWS FRONT •. ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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