HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAa-E INFO h1iUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE: Permit Number: Iq C) I - o
iA3
RECEIVED
JUL 68 2019
Building Permit Application
sT. Lucie County, Permitting
Planning and DEveJopmentServices
BuIlding r!7nd Code Regulotian vvision
230C Virginia Avenue,Ftirt Pier::e FL 34982
Phone- (772)462-1553 -;-ax: (772)462-1578 Commercial Residential X
PERMITAP:'I'LICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
-
Address:
Legal Descripti 3n: C/
Property Tax ID#: 1301-111-0001-00016 Lot No.
Site Plan Name: Block No.
Project:game
-
Setbacks Fro-it Ba.c1c Right Side: Left Side:
DETAILED rIESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
- Additional workto-be ne ormed under this perm ---check all that apply, L
E1HVAC F Gas Tank FIGas Piping UShutters F]WindoWs/Doors
Gectric Plumbing OSprinklers Generator Roof
Tota!Sq.Ft of Construction: SQ. Ft.of First Floor:
Cost of�:)nstr_ction:$ s5_00- 00 Utilities:7 SewerSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Narr e Wynne Building Corp. Name: James W Law
Address: 8000SUS#1 Suite 402 Company: Law's Electric,Inc.
City: Port St Lucie State: FL Address: 218 Beach Avenue
Zip :Ode: 34952 Fax: City: Port St. Lucie State: FL
Phone F40. 772-878-5513 Zip Code: 34952 Fax: 7?2-878-3347
E-Nail: Phone No- 772-971-4512
Fill in fee simple Title Holder on next page if different E-Mail: lawselectricincQaol-com
from the Ownar listed above} State or County License: ER0000122
if value consr.ructiart is$2500 or more,a RECORDED Notice of Commencement is required-
Z170C9J_2ZLLMVl %C:06 66 80 Inp
i
I
SUPPLEMENTAL CONSTRUCTION LIEN LAW.INFORMATION:
DESIGNERIENGINEER: 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 prior to the issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or andcovenantsthat 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,l 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-resldential use
"WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
T1'1►ICI; 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
o�zt/
4ature of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder
STATE OF
COUNTYOFORi� �"7i ,/(�C.t�e.- COUNTY OF
/,.4�N
The fo oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�day of � i~ - 20ZE by this�day of2019'by
Name of person making statement. Name of person making statement.
Personally Known Lf OR Produced Identification Personally Known ,/ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of� i - �da) (Signatures BLklorida)
gSTATE OF FLOft STATE OF FLORIDA f
Commission o G282r�o 1) Commissi r :Mao (Seal) i
'�E a Expires 912812022 ca tig1, EXPIMI 9/26/2022
REVIEWS FRONT" ZONING SUPERVESOR PLANS VEGETATION SEA TURTLE MANGROVE I
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE i
COMPLETED
ev.2/7/19
r
t,'d Lti£S8L88LLMV-i 136£:01, 66 80 Inf