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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF© MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ls} r Date: Permit NumbeKt% MD 1 e Building Permit Application APR 2 2019 Planrring and Development Services Permitting illi n Department Building and Code Regulation Division Cg 2300 Virginia Avenue,Fart Pierce FL 34982S t. Lucie County, FL Phone:[772}462-1553 Fax--(772)462--1578 Commercial Rebid PERMIT APPLICATION FOR: Bec rlcal PROPOSED INPROVEMENT LOCATION: lY,l Address: Legal Description: Property Tax ID#: 130 x111-0001-0001 „ Lot No. Site.Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTIO( OF WORK: Replace meter center with a combo pack CONSTRUCTION INFORMATION: mons war tobegersormed under tis permit—ctieck all appy: FHVAC U Gas Tank FGas Piping _Shutters Q Windows/Doors Electric Plumbing Sprinklers 0 Generator Roof Total Sq.Ft of Construction: S _Ft.of First{{Floor; 1 Cost of Construction:$ �0�_ ;Oe, Utilities.nSewer I—Septic Building Height: t7WMERAESSEE: CONTRACTOR: Name Wynne Building Corp_ Name: James W Law Address: 800()S US#1 Suite 402 Company. Law's-l=tecfia, Inc. City: PartSt.Lucie Stta#e. FL Address: 218 Beach Avenue Zip Code. 34952 Fax: City: Port St.Lucie State: FL Phone Ivo- 772-878-5513 Zip Code: 34952 Fax: 772-878-3347 E-Nihil: Phone No- 772-971-4592 Fill in see simple Title Holder ort next page[if different E-Mail: lawseleutricinc u@aol-corn from the Owner listed above} State or County License: ER0000122 If value of coii_s cdon is$250D or more,a RECORDED Notice of Commencement is required 6•d -8926-499-499 Lli££8L8ZLLMV1 eev60 66 ZO add SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNERANGINEER: s/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable Narne: Name: Address: Address: City: State: City- State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _L/ 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,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 leader or an attorney before commencing work or recording our Notice of Commencement sigailiure of Owner/Agent/Lessee Si ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY-OF SAINT LUCIE COUNTY OF SAINT LUCI E Theforgoing instrumentwas acknowledged before me The forgoing instrument was acknowledged before me this Zk day or . . , 20 by this A day of ' - '2-()L?_ by .-JAMES W LAW JAMES W LAW (Name of person acknowledging) (Name of person acknowledging) (Sign a 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 tMom Law Commission No. GG 046735 r NOTARY PU Xbmmission No. _GG 046735 Jullet Law STATE OF FL IPANOTARY PUBLIC Cantu# a - STATE OF FLORl� QG .. Expires 11/13/2020 a Explree 11/13/2L.-; Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPL1rTE INITIALS LVSC9L83LLMVI 1381-:60 61, ZO AV