HomeMy WebLinkAboutBuilding Permit Application ALL APFLiCAB.'_E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number. �14
;:M :: Building Permit Application RECEIVED
Planning and Pevelopment5ervices
Building and Code Regulation Division JUN 17 2019
2301,Virginia mvenue, Fort Pler_-e FL 34982
Phone: (772)462-1553 rax: (772)462-1578 Commercial Reside n j;9 . Luc16122odntrf ppilmitting
PERMIT AP.)_KATION FOR: Electrical
PROPOSED INPROVEMEN LOCATION:-
Address: -
Legal Descriptl,)n:
,
I PropertliTax ID 4: 1301-117-0007-000!5 ?L Lot No.
Site Plan Name: Block No.
Proje`t:Name:
Setbacks Front Bacic: Right3lde: Left Side:
DETAILED 11hSCRIPTION OF WORK:
Replace meter center with a combo pack
CorasTRUCTION INFORMATION:
�Additional work to be er1ormed under tispermit—check allt appy:
' UHVAC Gas Tank 01325 Piping Shutters Q Windows/Doors
EEiectric F7, Plumbing Sprinklers O Generator Roof
Total:Sq. Ft of Construction: 5 Ft-of First Floor:
Cost of Canstr-_ction:$ Utilities: Sewer 1:1 Septic Building Height:
OXN NER/LESSEE: CONTRACTOR:
1Narre Wynne Building Corp. Name- James W Law
Address: 80CD S U5#1 Suite 402 Company: Law's Electric, Inc.
City: Port St_Lucie State:FL Address: 218 Beach Avenue
Zip --ode: 34952 Fax: City: Port St_Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-97.1-4512
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 cons`-ruction is$2500 or more,a P.ECORDED Notice of Commencement is required. e
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: y Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Nat Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: zip: Phone:
OWNER/CONTRACTOR AFFIDVIT: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 vilth 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 your Notice of Commencement.
-7w
SIgtura_of—owner/Agent/Lessee Si6azure of'contractor/ficense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF �',r
The forgoing instrumignt was acknowledad before me The forwing instrumentwas� --knowledg!qd
Jefore me
this Z1, ZnZ
day of t- 2d? by this LZ day of•'ZTZi_41t� I -.by
eg Li
(Name of person acknowledging) (Name of person acknowledging)
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(Signatureof1Stateo'fF'NrT. a (Signdturr
–o
e Nota is-State of Florida)
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Personally KnowAPOR Produced Identification Personally Known OR Produced Ident[fica-tion
Type of Identification Produced Type of Identification Produced
Opy Sourly J.Piroske Beverly J.Pros
Commission No. - NOTARYppaw Commission NOTARY PUBLIC; (Seal)
STATEOFFLORID, !STATE CF o=A
CitiI'a of r1c.2je= t-mnn*GGm26278D
Revised 07/1512014 Expims 9&812022 Eapires 912612C)22
REVIEWS FRONT ZONING SUPERVISOR PLANSVEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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