HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICA81_E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
RECEIVED
Building Permit Application MAR 18 2019
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone: (772)462-3553 Fax: (772)462-3578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical E
PROPOSED IMPROVEMENT LOCATION:
Address: . l��- mss- 4-5:=;Z
Legal Description:
Property Tax ID#: 1306111-0001-0001.0 fq, Lot No
Site Plan Name:
Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OFWORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional itiona work to ff
orme pan er t is permit—c ec a appy:
11HVAC Gas Tank 0Gas Piping _Shutters a Windows/Doors
ZElectric 0 Plumbing Sprinklers I_.J Generator 0 Roof
Total Sq. Ft of Construction: S . Ft_of First Floor.
Cos of Construction:$ Z d& Utilities: Sewer 0 Septic Building Height:
OWNERAESSEE: CO NTRJ-`.CTOR:
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: 349-52 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 page(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 R;repaired_
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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:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFROVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
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 our Notice of Commencement.
Si&ture of Owner/Agent/Lessee 51�Rnature f Contractor) icense Holder
STATE OF FLORIDASTATE OF FLORIDA 9 '
COUNTY OFA `� e
/_ t COUNTY OF y 4 lz �
The for. 'ng instrument was acknowledged before me The forgoing instrurmentwa�/�s�knowledged�jefore me
this day of 20�by this day of; 26 by
(Name of person acknowledging) (Name of person acknowledging)
Y1/'x
{Signature of Notary7011
tate of Flon a) (Sign tore of Nota , _iic-State of Florida)
Personally Known Produced Identification Personally Known V OR Produced Identification
Type of Identification Produced Type of Identification Produced
tl,!<r Beuerty J.Pmska Beverly J.Pros
Commission No. NOTARY P Commission NoTARY PIIBUC (Seal)
STATE OF OF FLORIDM_ (-wnrn#GG262780
STATE OF FLORIOOF FLORIDA
Revised 07/15/2014 Expires i � Expires 9126/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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