HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLICABLE INFOMUSTBE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date O � f Permit Number: q
RECEIVED
- Building Permit Application JUL 0 8 2019
Plonning and Developmentservices
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION. FOR: Electrical -i
PROPOSED INPROVEMENT LOCATION:
Address- •�
Legal Description:
Property Tax ID#: 3427-111-0002-000/5 tl;F 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:
AddMonal work to be erformea underthis permit—check all appy:
HVAC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric . Plumbing Sprinklers ElGenerator El Roof
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ f'76; �C� Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: ' James W Law
Address.• 800:0 S US#4 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. 772-876-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No- 772-971-4512
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 construction is$2500 or more,a RECORDED Notice of Commencement is required_
6'd -99Z1•-699-699 LtiEE8L9ZLLMVl e9Z:01. 66 80 Inf
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Add re ss: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto clothe 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 thepermit 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 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 .JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANfJNG, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
6atre of Owner/Lessee/Contractor as Agent for Owner ature o Contractor/License Holder
STATE OF FLORIDA / . - STATE OF FLORIDA
COUNTY OF _ Z< <{ eA_-e— COUNTY OF ,o7
The for oing instrument was acknowledged before me The for oing instrument was acknowledged before me
this day of, � L\ 20Zf by this day of ZQ k-t,// 20&by
Name of person making statement. Name of person making statement
Personally Known OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of I i - � �da) (SignatureVA4091
I �� lorida)
�+ STATE OF FLO !12..
ATE OF FLORIDA
Commission 1y 0 �1) Commissifi2780 (Sealy
0262780Expires 9/26/2022 E lra8/26/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.
Z•d -89Z6-699-699 LtlEE8L8ZLLMVI e9Z:06 61, 80 Inr