HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMP-
OM P-LETED FOR APPLICATION TO BE ACCEPTED
Permit Nu
APR 2 2019
Building Permit Applicata n
Planning and DevelopmenrServices
Suilding and Code Regulation Division Permitting Department
,t. Lucie
2300 Virginia Avenue,Fort Pierce FL 34982 County.. FL
Phone.(772)462-1553, Fax:(772)462-1578 Commercial LResie
PERMIT APPLICATION FOR: Electrical
PROPOSEb INPROVEMENT LOCATION: EL
Address.,
Legal Description:
PropertyTaxlD#: I306.111-0001-00010
Wt No_
SitePlan 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:
--AddF]itionaHVAC l warkto be ryerfoGas Tank --]Eias Piping rmed under this pen-nit—check all that,apply:
PShutters Windows/Doors
FIF]
Electric M Plumbing [SprinklersGeneratorRoof
Total Sq.Ft of Construction: Sq-Ft of First Floor:
cos-,of Construction:
utilities:USewer 0 septic 301 ding Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp- Name: James W Law
Address--- 8000 S US#I 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
LPhone No 772878-5513 Zip Code: 34952 Fax: 772-678-3347
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 -n a r r.ern ent is required.
890:60 66 30 AV
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION_
DE: IGAIERJENGINEER: ;f Not Applicable MORTGAGE COMPANY: Not Applirnhlr-
' Name:
Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE TME H43.D1=R: __Z Not Applicable BONILIING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
4� -
1 i certify that no wont or installation has commenced prior to the issuance of a permit.
iiSt.Lucie Countjyr makes no representation that is granting a permit will authorize the permit holder to build the subject structure
wb..ch is:n conflictwith any applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure_Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
l 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.
Thefollowing 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 Ftecord a Notice of Commencement may result in your paying twice for
it 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
l
commencing work or recording our Notice of Commencement.
5i ature of owner/Age-tit/Lessee Sloature of Contractor/License Holder
is
STAT E OF FLORIDA STATE OF FLORIDA
COUNTY-OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was arknowledged before me The forgoing instrument was acknowledged before me
this '_day of 1ZZ 20,�r by this_�2_day of 120_a by
ii
i _,DAMES>iflf LAW JAMES W LAW
a :---
(Narr.e of person acknowledging I (Name of person edging) !
{Signat e o Notary Public-State of Florida) (Signature otary Public-State of Florida)
I
` Personally Known v""OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. — GG D46735 ( Juliet Law Commission No. GG 046735 eat6et Law
NOTARY PU C NOTARYPUBLIC
STATE OF F'ORID
Comm#GGM735 Cornua#GGG046i'35
�2P.�ised(17!15/21}14 . ' Explrm 11!'1312020. Explree 11113/2020 I
REVIEWS FRONT ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
D.4"'E 1
G:)Iw PLETE 1 f
INITIALS
4
Z'd Lt0C9L8ZLLMVI e90:60 6t ZO AV