HomeMy WebLinkAboutBuilding Permit Application ALL APP.111CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date ;?,o/,9 Permit!Number:.A (A cl (0 -
MW
tki RECEIVED
JIM Z
Building Permit Applicati
Buldon JUN 2 4 2019
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address..-_„ _„
Legal
ddress-
Legal Description:
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DESCRIPTION OF WORK:
-Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work to be nee
ertormed under this permit-chec,all apply:
0HVAC Gas Tank EjGas Piping Shutters �Windows/Doors
RElectric Plumbing FISprinklers F-1 Generator Roof
Total Sq.Ft of Construction: Sq.Ft.Sewerof First Floor:
Cost of Construction:$_ S-06, 0a Utilities:[:] ]Septic Building Height:
_ F—
SSEE: CONTRACTOR:
Name 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 Code: 34952 Fax: City: Port St.Lucie State: FL
Phone No. 772-878-5513 Zip Code:- 34952 Fax:. 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder an next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
If valve of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCnON LIENLAW INFORMATION:
I�EStGitIERf E3NGlNEEIt: Not Applicable MORTGAGE COMPANY-. __Not Applicable
Name: Name:
Address. Address:
0tv: State: City.- State:
23p: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Nat Applicable
Name., Name:
Address: Address:
cftr- City:
Zip. Phone: Zip:_ Phone:
OWNER/CONTRACTOR At,FIDVIT'.Application is hereby made tD obtain a perinitto dothe work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit
St. eCounkgno representation s
e n
that
,00
;
re
MIch:is in conflictw anYjpprmble Home omTala7ofrul . aiorCco such
'I �.Ple consult
W1your Home 0wneandreview deed
in consideration ofthe granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance miith the approved plans,the Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exemptfrorn undergoing a full concurrency mViieW--room additions,
accessary structures,swimming pools,fences,wails,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Idolise of Commencement may result in your paying twice for
I
irnprOvements 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
commencigg work or recording your Notice of Commencement.
Si toreofAgent/Lessee Wature of Contractor/licerise Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE couim OF ST-WCf E
7ibeforgaing instrument was acknowledge—d-befbre me Theforgqjng instrument was acknowledged before me
this 2V dayof �-jday of 20_ by
20h�ZbY this_
JAMES W LAW JAMES W LAW
(Name of person a&vioxiledging) (Name of person*hm*l edging
(siratu otary Public-State of Florida) (Signature—ofWatary Public-State of-Florida)
personally Known----� OR Produced Identification- Personally Known %1✓ 'OR Produced identification
Type of identification Produced Type of IdentificatloP Produced_
04� Jwet Law mmisslonimo.C—C-1-94111 73
Commission No. JLqjet Law
NOTARY PU�LIRI� NOTARY PUBI,
STATE OF F RIQA Q-P A
OF r-k AN
Revised 07/1512014 •I/W Expires 1111312020 rn#Gcw,
31 P2(
REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGErATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
RECEIVED
DATE
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