HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB.-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: A(1
RECEIVED
Building Permit Application
Planning and Development Sentices JUL 0 8 2019
Bulking and Code Reguiottion Division
2300 Virgin fu Avenue,Fort Pler-x FL 34982 ST. Lucie County, Permitting
Phote-(772)462-1553 =ax:(772)462-1579 Commercial Residential X
PERIATAP*1LICATION EOR: Electrical
PROPOSED INPROVEMENT LOCATION:-
Address.
Legal DEscripti in-
I Propemi Tax ID 4: Lot No_
SitePlan Name: Block No.
Proje--t;dame:
Setbacks Front Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace meter center with z combo pack
CONSTRUCTION INFOEMATION:
Add tional work to be Dertormed underthis-permit-ch-e-cY51i that F] app y:
Piping HVAC FIGas Tank D F__1 FIVJindows/Doors
w Lectric F-1 Plumbing OSprinklers IlShutters Generator Roof
Tata!Sq-Ft of Construction: S Ft of First Floor:
"n -
Cost of Zanstr_ction:$ If'—OO- 00 Utilities Sewer D septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Marre Wynne Building Corp. Name: -Jarnes W Law
Address- BOCOSUS41 Suite.402 Company: Law's Electdc, Inc-
City: Port St. Lucie State: FL Address: 218 Beach Avenue
Zip -ode: 34952 Fax: city- Port SL Lucie State: FL
phone r4o- 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
Phone No. 772-971-45121
Fill in feesimple Title Holder on ne).-.t page(if different E-mail: lawselectriciincgaol-corn
from the Oiitn er listed -a bo%re) State or County License: ER0000122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required-
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _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:
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 priorto 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 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.
Thefollowing building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen roams 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 UYSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
i
ature of owner/Lessee/contractor as Agent for Owner S' ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA 7 -
COUNTY OF ��c �/.l16kIz— COUNTY OF
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this day of_ ----YCA- L�20• f by this day of =tl I t 20&by
Name of person making statement. Name of person making statement.
Personally Known L�OR Produced Identification Personally Known ✓ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of i - eda) (Signatur Ij®��lorida)
s
1 _STATE OF FLO� k� c STATE OF FLORIDA
60 1) Commissi 62780 (Seal)
Commission G2527
V I si Expires 9126/2022 s�Hc�lg►° Expires 6/26/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.
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