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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ) ,�1 Permit Number: / o © v _. =i, 7 -- - ------ Building Permit Applicati n AUG 2 0 2019 Planning and Development5ervlces Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce FL 34982 Permitting department Phone:{772)462-1553 Fax: (772)462-1578 Commercial R5tidhtwje County, FL PERMIT APPLICATION FOR: Electrical 0 PROPOSED INPROVEMENT LOCATI N: Address: Legal Description: Property Tax lD#: 130113-0001-0001rJ lW 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, CONSTRUCTION INFORMATION: a itrona wor to (ee orme under tis permit—ca appy: EIVAC U Gas Tank ❑Gas Piping _Shutters Windows/Doors 1^l Electric ❑ Plumbing OSprinklers ❑Generator EIRoof Total 5q.Ft of Construction: Scl.Ft.of First Floor: Cost of Construction:$___,_66_j2Q. Ute_ utilities: Sewer E]Septie Building Height: OWNER/LESSEE: CONTRACTOR: Dame Wynne Building Corp- Name: James W Law Address: 8000 8 US#1 Suite 402 Company: Law's Electric, Inc. City: Port St.Lucie II 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 Fill in fee simple Title Holder an 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. C-d -89Z6-699-699 ZVC08L8ZLLMV.7l d99:60 66 61. 6nV SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address: City: State: City: 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 rriade'toobtain a permit to dothe 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 represetion that is granting a permit will authorize thepermit h older to build the subject structure which Is in conflict with any applicaitalle Home Owners Association rules,bylaws or apcovenants 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 agreethat 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 exempt from undergoing a full concurrency review:room additions, accessory structures,swlmrrring pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use "WARNING TO OWNEIC 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 FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT.?" 5 of 0%;Prer/Lessee/Contractor as Agent for Owner Soatu=re orlfICC,50)nt�,�ctor/License Holder tore STATE OF FLORIDA s STATE Of FLORIDA COUNTY OF ZId4-je— COUNTY OF The forgoing Instrument was acknowledged before me The f Ing Instrument was acknowledged before me this /F day of : .1Z 20J,� by this7dayof -4-Ae� 20ZZ by kj- Name of person making statement. Name of person making statement Personally Known OR Produced Identification Personally Known vf" OR Produced Identification_ Type of identification Type of Identification Produced Produced (Signatureof 512 da) (Signatur —STATE OF FLORI Commission OF PLO 1) commissl (seal) nT# 2627 Exallf 81 61 D tig1 Explm 912612D22 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED {,'d -2924-499-499 Lt7PC9LKLZMVJ d9'940 64 64 6nV