HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAKE INFO MUST 3E COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date Permit Number: \0\G4z—'6 JLj6
RECFJVED
Building Permit Application JUN 17 2019
Planning and DevelopmentSeritices
Buileln_q and Code Regulation oivision ST. Lude County, Permitting I
2300 Virginfo At;enue,Fort Pler.:e FL 34982
Phone:t772)462-1553 Fax: (7721462-1579 Commercial Residential X
PERMIT AP)LIGATION FOR: Electrica[
PROPOSED INPROVENIENT LOCATION.-
Address:
Legal DEscript5n:
Propert%fTaxID4: 1301-111-0001-00015 j d_
Lot No.
Site Plan Name:— Block No.
Project,:Mame:
Setbacl,s Front Back: Right Side: LeftSide:
[DETAILED DE:SCRIPTION OF WORK:
Replace mater centerwith a combo pack
CONSTRUCTION UNFORMATION:
Add tionaTwar k-to be oertormed unclerthispermit—c ec all tb: apply:
F1HVAC GasTankF�Gas Piping Shutters WindoWsfDoors
R]Electric 11 Plumbing OSprinklers Fi Generator LSI Roof
Total:Sq. Ft of Construction: Sq.Ft. of First Floor
Cost of 2,3r-istr_coon: el 0;:f�o' 0,-)
Utilities.-F Sewer U Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Narre Wynne Building Corp. Name: James VV Law
Address: 8010SUS#1 Suite 402 Company. Law's Electric, Inc..
City. Port SL Lucie State: FL Address: 218 Beach Avenue
Zip Z-Ode: 34952 Fax: City: Port St.Lucie State: FL
Phone FIo. Zip Code: 34952 Fax: 772-878-3347
E-Nail: Phone No. 772-971-4512
Fill in feesimple Title Holder on ne.).ft page(if different E-Mail: lawselectricitnegaol.com,
from the Owner listed above) State or County License: ER0000122
if value at consf:ruction is$2501)or more,a RECORDED Notice of Commencement is required-
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SUPPLEMENTAL CONSTRUCTION L04 LAW INFORMATION:
DESIGNERIENGINEER: NotAppricable MORTGAGE COMPANY: _0—qotApphcable
Name: Name:
Addrew- Address:
City: Qw- State:
Zip: Phone: Tip: Phone:
FEE simPLE TITLE iiowtit: Not Applicable BONDING COMPANY: NotApplicable
Name., Name.
Address:--- Address:
cfty-- City:
Phone:— zip: Phone:
OWNERI CONTRACTOR AFFIDVIT:Application is hereby made to obtain perp*to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit
5tLucie Co.4E
makes representation
which vin c: IcwppIcabieHe
t
such
structure.Please your Ham?owners Association and review your deed for any restrictions vuhich may apply.
in consideration of the granting of this requested pennit;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 exemptirorn undergoing a full concurrency reVieyv.room additions,
accessory structures,swimming pools,fence walls,signs,screen rooms and accessory uses-t:6 another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying tsuice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobAte
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recoEStjyour Notice of Commencement.
'gig-s4ture of owner/Agent/Lessee Sj6iature of Contractorilicense Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTYOFST.WCIE COUNTY OF ST.LUCIE
The forgoing instrument wasacknowledge—d-befbre me 'Theforg6inginstrument was acknowledged before me
this_! Z day of this-!L-7 day of
JAMES W LAW JAMES W LAW
(Name of person admm1kdjflng) (Name of person al- c6ledging I
TS-17gnm—re ofMotary public-State of Florida) tsignatur-eno-Motary public-state of Florida)
personally Known OR Produced Identification Personalty Known %-" OR Produced identification
Type of Identification Produced Type of Identification Prodwed_
Commission No. Met
yY Plu IC mmission Wo.
NOTARSTATE OF IPA &%kNOTARY pUq
ffw M ComCamra{ IPA
,Revised 07/1512014 • ExPirft 1111312021D ExPIF06 11/13) 020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAMON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
=ATE
COMPL
romPLETED
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Z-d -85Z L-L99-199