HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO Mt IST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date s, Permit Number.
RECEIVED
Building Permit Application JUN 2 4 2019
Planning and Development Services ST. Lucie county, Permitting
Building and Code Regulotion Division
2300 Virginia,Avenue, Fart Pierce FL 34992
Phone,(772)462-1553 Fax:(772)462-I578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#i• Lot No.
Site Plan Name: -Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side.
[DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work tobe nertormed under this permit—check all that apply: F]
13HVAC 1-1-GasTank FGas Piping 1-1 Shutters Windows/Doors
ElFV]Electric Plumbing FSprinklers E]GeneratorF--]Roof
Total Sq. Ft of Construction: So.Ft.of First Floor:
Cost of Construction, Utilities:0 Sewer E]Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402 Company: Laws Electric,Inc.
City: Port St.Lucie State: FIL Address: . 218 Beach Avenue
Zip Code: 34952 Fax:— City: Port St. Lucie State: FL
Phone No. 772-8785513 5513 Zip Code: 34952 — Fax. 772-878-3347
E-Mail: Phone No. '772-971-4512
Fill in fee simple'Titie Holder on next page if different E-Mail: lawselectricincQaol-com
from the Owner listed above) State or County License: ER0000122
I I
if vralue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION L[Eiq LAW INFORMATION:
DESIGNER/ENGINEER: -.1-N.ot Applicable MOIkTGAGE COMPANY: %/NotApp—licable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: ZIP: Phone:
FEE simPLE TITLE iimw R----. _V Not Applicable BONDING COMPANY: _S:::�Not Applicable
Name: Name:
Address: Address:
CW. Crty:
Phone: Zip: Phone.-
OWNER/CONTRACTOR AFRI)VIT.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 Count
)gj makes no representation that is granting a permit will authorizethagermit holderto build the subject structure
w1rechisinco ictv&b any applicable Home Owners Association rules,bylaws or an 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 of this requested permit,I do hereby-agree that I will,in all respects,perfon-n 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 full concurrency review.roam 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 j obsite
br_zfore the first inspection.If you Intend to obtain financing,consult with lender or an attorney before
commencin work or recordinavour Notice of Commencement.
4-5at�ureof 00nej�entj Lessee Yffinature of ContmctoriUcense Helder
STATE OF FLORIDA STATE OF FLORIDA
couNTY or-.sT-WCIE. COUNTY OF ST-LUCIE
'the forming instru.urn
QT-r.was acknowled"ebefore me Theforgoing instrument' was acknowledged before me
20by thl!j:9-0,day
JAMES W LAW JAMES W LAW
{Name of person ac*mvz%dg71ng) (Name of person*kn'o*ledgjng I
CS]gnature'*NotaryPublic-State of F16iida)
(Sig of otaryPo�bric-Sta�tL-ofF]o�ilds3�
Personally Known &-' OR Produced Identilication Personally Known -✓ "OR Prod uiced Identification
Type of identification Produced_ Type ofidentffication Produced._
M- - it" LaOwFEIO .c"oAmmlsslon wo. (Sea[
Commission Na. NOTARY PURI, )
Juliet
t.%VSTATE
COMM#0GO46735 T Pu
.Reyised 0711512014 Expires 11113!2020 STATE OF FLORpA
V1 3/2010
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTIE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
LATE _
[1--RECEIVED
DATE
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