HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED jqu
Date: v?�,r,9 Permit Number: J�
RECEIVED
AUG 13 2020
Building Permit Application
Planning and Development Services Permitting Department
St. Lucie Count,
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Electrical .'
PROPOSED INPROVEMENT LOCATION:
Address•
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:
DETAILED DESCRIPTION OF WORK:-
Replace
ORK:Replace meter center with a combo pack.
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CONSTRUCTION INFORMATION:
Additional wor<to be Pertormed under tispermit—check all appy:
HVAC Gas Tank ❑Gas Piping _Shutters It Windows/Doors
Electric In Plumbing Sprinklers E Generator El Roof
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ O�¢ Utilities:cn Sewer E]Septic Building Height.
OWNER/LESSEE: 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 1
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.
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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:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicabl
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 the permit holder to build the subject struct i re
which is in conflict with an Y applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Nome Owners Association and review your deed for any restrictions which may apply. 1
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 IMPROYEMENTS 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."
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nature of owner/Lessee/Contractor as Agent for Owner Si o ture of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF .. _J,�5 .�.Q°- - .�_._ COUNTYOF
The forgoing Instrument Was acknowledged before me The forgoing instrumen was acknowledged before me
this day __,20/ by this.l,.dayof ,20 "by
Name f person making statement. Nameoperson making statement.
Personally Known OR Produced Identification Personally Known w" OR Produced Identification 1
Type of identification Type of identification
Produced Produced j
,(-I-nature o �'eJI'? l Florida) (signature 919lorida}
NOTARY PUBLIC NOTARY PUBLIC
CommiRIDA(Seal) Commiss ORIDA (Seal)
Comn*GG262780 Comm#GG262780
e xa rea
Expires 912612022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETED
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