Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB_E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED DatE: . �'r` � Permit Number: RECEIVED OCT .0 2019 - Building Permit erm StfittingLucDepa�meni Planning and Development Services Building and Code Regulation Division 230CI Virginia Avenue,Fort Pier--e FL 34.982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential I1 PERMITAP �L KATION FOR: Electrical PROPOSED INPROVEMEN LOCATION: Address: / -51..5) Legal Deseripti:)n: l # Propert%i Tax lD#: 1301-111-0001-0000 Lot No. f Site Plan Name: Block Noll Project Name: �{ Setbacks Front Back: Right Side: Left Side: - it DETAILED DESCRIPTION OF WORK: Replace nieter E� COI`�STRUCTION-INFORMATION: Additional work to be performed under tis permit—check all tfiat apply: LilHVAC Gas Tank ❑Gas Piping --_Shutters I]Windows/Doors II LJ Electric Plumbing Sprinklers ❑Generator DRoof Tota'Sq.Ft of Construction: S _Ft of First Floor: Cost of Constr-_ction:$ �� - �U Utilities cnSewer-1=,.ISeptic Building Height: I OWNER/LESSEE: 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 Code: 34952 Fax: City: Port SL LucieState: FL Phone rJo. 772-878-5513 Tap Code: 34952 Fax_ 772-8?8-3347 E-lVail: Phone,No. 772-979-4512 Fill in fee simple Title Holder on next page(if different E-Mail: lawselecb icinc@aol-corn j from the©wnar listed above) State or County License= ER0000122 ,I If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. r 1 SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable Name: Name: Address: Address- City: State: City: State: I Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable Name: Name: Address:. Address City: City: J Zip: Phone: Zip: Phone: 1 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 Counter 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 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 SOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." nature of Owner/Lessee/Contractor as Agent for Owner svtune o#Contractor/License Ho}der STATE OF FLORIDA STATE OF FLORIDA COUNTY OF COUNTY OF s — The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this_?6 day of�'J�l - �,20.,a by this 22 day of CSS' 204 by Name of person making statement. Name of person making statement. Personally Known ,• OR Produced Identification Personally Known v*" OR Produced Identification Type of identification Type of identification Produced Produced d/Zah, (Signature o 6 Florida) (Si nature St eFlorida) ��, NOTARY PUBLIC NOTARY PUBLIC Commis RIDA(Seal) Commisso c ORIDA (Seal) �I ?Comm#GG262780 Com m#GG262780 i C€1 xplt8& re 9/2612022 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW, DATE RECEIVED DATE COMPLETED Rev.277/19 I