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HomeMy WebLinkAboutBuilding Permit Application ------------ ALL APPLLIIC}AB_E_INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED Dat _C�C,.r' Permit NumberA 74 `" t �4�j�©fie - Building Permit Application Planning and DevelopmentSenlices Building and Code Regulation Division 2301,Virginia Avenue,Fort Pier--e FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT AP "LICATION FOR: Electrical Q PROPOSED INPROVEMEN LOCATION_ U j Address• .. � Legal Descripti:)n: Propertv Tax ID#: 1306-111-0001-000/0 Lot No. Site Pian Name,: Block No. Proje:t Name: Setbacks Fro.-it Bach Right Side: Left Side: - I DETAILED DESCRIPTION OF WORK: Replace meter de, a-2 I COPdSTRUCTION-INFORMATION: Additional wort to be erformed under this perm!t—c ec a11t app y: { L_MVAC Gas Tank DGas Piping Shutters Q Windows/Doors v Electric F-11 Plumbing Sprinklers Q Generator F] Roof Tota'Sq_Ft of Construction: Sq-Ft.of First Floor: Cost of Constr-_ction:$ �O- 00 Utilities:lSewer-o Septic Building Height: 011ir'NERAESSEE: CONTRACTOR: Narre 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 Zode: 34952 Fax: City: Port St. Lucie State: FL Phone rJo. 772-878-5513 Zip Code. 34952 Fax: 772-878-3347 E-Nail: Phone No_ 772-971-4512 ! lawselectricinc aol_com Fill in fee simple Title Holder on next gage(if different E-Mail: @ from the Owner listed above) State or County License: ER0000122 I f value of construction is$25QQ or more,a RECORDED Notice of Commencement is required. 1 8 E ' I i i 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. 1 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 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. 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 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:" ature of Owner/Lessee/Contractor as Agent for Owner S' ature o Contractor/License Holder STATE OF FLORIDASTATE OF FLORIDA COUNTY OF '(,CSC. COUNTY OF_ The forgoing instrum t wa acknowledged before me The forgoing instrum t w s acknowledged before me this day of 20by this�day of _,20by Name of person making statement. Name of person making statement. Personally Known D/OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature of� i - �da) (Signature4 Ijsqf"gL&rida) y} STATE OF FLO STATE OF FLORIDA Commission 1y� G262780 I) Commissi 62780 (Seal) Expir®a 9/26/2022 �Hc€le�� 11011`6119/26/2022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEWI DATE RECEIVED DATE COMPLETED ev. 2/7/19I