HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
JU 1 7 19
Building Permit Application JUN 1 2019
Planning and DevelopmenrSentices ST. Lucie County, Permitting
Building and Code Regulation E-Itfisfan
2300 Virginia,-Lve nue,Fart Pier-.e FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT AP.1>1LICATION FOR: Elect(ical LJ
PROPOSED INPROVEMENI LOCATION,-
Address--
Legal DESCCIPti�n:
Property Tax lD#: 130'1-111-0001-000/6 Lot No-
Site Plan lame-- Block No.
Project Name-
SetbacLs Front Back, Right 5ide: Left Side:
FDETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack ltxal
[c�OPJLST�IRUCTION INFORMATION:
AdditionaiworKtotiepertOrme d under this permilt—check all tb-at apply:
HVAC 0 Gas Tank F]Gas Piping -_Shutters t Windows/Doors
FVIE',ectric UPiumbing OSprinklers Generator Roof
Tota'Sq. Ft of Construction: So. Ft-of First Floor:
Cost of Zanstr-cticin:$_4 40(00' 00 Utilities:M Sewer FISeptic Building Height:
0%-NER/LESSEE: CONTRACTOR:
Nacre
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 Zode:-34952 Fax: City: Port St-Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34.952 r-a)c 772-678-3347
E-[Vail: Phone No- 772-971-4512
Fill in fee simple Title Holder an ne)--t page t if different E-Mail: lawselectricincQaol.com
from the ownar listed above) State or County License: ER0000122
If value of cons'.ruction is 52500 or morea RECORDED Notice of Commencement is required.
L'd -85Z b-1 9-699 Lti£E8L8ZLLMy 1 dol,Z], 611, L unp
SUPPLEMENTAL CONSTRUCT10N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable
MORTGAGE COMPANY: ✓ Not Applicable
Name., Name:
Address: Address:
City: State: city: State:
Zip: Phone: zip.. Phone:
FEE SIMPLE TITLE HOLDER: _.k_/ 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 ptiorto the issuance of a permit.
St.Lucie Coun makes no representation that is granting a permit will autborize 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 ofthis 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.Lucle County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,wails,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 an the jobsfte
before the first inspection.If you Intend to obtain financing,consult with lender or an attorney before
cornmenciniz work or recording your Notice of Commencement
S' tore Owner/Agent/Lessee
Si atone of Contractor/License-Holder
of
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT WCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The ibraoing instrument was acknowledged before me
by this;J,2_dayof -=e&-t� .20,�O-by
thls./_,�' day of =e t,,me, 20
JAMES W LAW JAMES W LAW
(Name of person acknowledging} (Name of person acknowledging)
State of
-----------
(Signature 6tNotary Pubt
(signii�-e of Notary Public- Florida) le-State of Florida)
PersonallyKn6wn P,'—" OR*Produced Identification Personally Known k_-' OR Produced Identification
Type of identification Produced Type of Identification Produced
Juliet Low
Commission No. GG 046735 NMMARY PU Cbmmission No. GG 046735 NOTARY PUBLIC
IC
STATE OF n STATE OF FLOR
FL 1!
C"Mw:FGU 73A -c2mur-. 1
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Revised 07115/2014 EXAM 11/13/2020 Expires 99!93124 ;
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIAL;
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