HomeMy WebLinkAboutBuilding Permit Application ALL APPLICBLE_INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
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Dater
.', Permit Number: k�0q 034
RECEIVED
5Ef' 19 2019
` Building Permit Application
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax_ (772)462-1578 Commercial Residential X
PERMIT AP 11CATION FOR: Electrical Q
PROPOSED INPROVEMEN LOCATION-
Address:
Legal DEscripti:)n:
r
Propert%i Tax ID#: 1301-111-0001-00015 =? (= Lot No.
Site Plan lame: Block No.
Project game:
Setbacks Front Back: Right Side: Left Side: ,
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
COPJSTRUCTION INFORMATION:
itiona i orktobenertormed under tispermit—check all appy:
11HVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
v Electric Plumbing Sprinklers FIGenerator El Roof.
Tota'Sq_Ft of Construction: / S�Ft.{of First Floor:
Cost of Constr}_ction:$ Utilities: L—Sewer oSeptic 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: 216 Beach Avenue
—
Zip Zode: 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 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 82500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAV 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: T 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 the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or ancovenants 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
"!'YARNING 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 FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
-..W— 04--- OF" � -
` ature of Owner/Lessee/Contractor as Agent for Owner S' ature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA 1
COUNTY OF COUNTY OF �.�
The forgoing instrurr ent wis acknowledged before me Thefo'rgoii'g instrLmentdwas acknowledged before me
thisa,614l of � � 20!" by this�� aay of� ---�204 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
ILI
(Signature of a) (Signator at&rida)
Commission a STATE OF FLO I) Commissi o STATE OF FLORIDA(Seal]
02627 OR{ 2 7 80
Explrea 8126/2022 �yC61% mires 9/2612022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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COMPLETED
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