HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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�...... .. ___:� Building Permit Application MAR 1 x`2010
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address.
Legal Description:
PropertyTax ID#: 3427-111-0002-000/5 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 wor toe nerformed under tis permit—check all that appy:
aHVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric M Plumbing Sprinklers E]Generator O Roaf
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ �3 �� c� Utilities:n Sewer 1:1Septic Building Weight:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: .lames W Law
Address: 8000 S US#1 Suite 402 Company:` Lawes Electric, Inc.
City: Port St Lucie State•�L Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucie State: FL
Phone No. 772-878-5513 Zip Code: 345522 Fax: 772-878-3347
E-Mail: Phone No_ 772-971-4512
Fill in feesimple Title Holder on next page I if different E-Mail: lawselecWclnc@aol.com
from the Owned listed above) State or County License: ER0000122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required_
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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:
-ASE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: _v_Not Applicable
Name: Name:
Address: Address:
City: C'Fty:-
rip: Phone: ZIP-* Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucia Coun makes no representation that is granting a}permit will authorize the permit holderto build the subject structure
which is in coUct 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 vs hich may apply.
In consideration of the granting ofthis requested pamik 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.Lucia 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 rrecording our Notice of Commencement.
re of Owner/Agent/Lessee Si tura of Contractor/License Holder
STATE OF FLORIDA = STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LIUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this'./9 day of 20 ?V by 12OZE by
JAMES W LAW JAMES W LAW
(Name of person acknowledg! IName of person acknowledging}
(57-UNj�a�of Notary Public-State of Florida l (Signaturaid"Motary Public-State of Florida)
Personally Known P_," OR Produced identification_ Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
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Commission No- 046735 NOTARY Pu mmission o. GG 0Junet Law
46735 NOTARY
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STATE OF F:LORI!
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Ir"11/13/2020 ON
Revised 07115/2014 Exp
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
LINMALS
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