HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( vf
Date: . %' / Permit Number CN T%,
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NOV 12 2019
Building Permit Application Permitting [department
Planning and Development Services St. Lucie County, FL
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
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 meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
nitiona wor to e e ormed un er t is permit y:
—check
a app
LJHVAC Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
oElectric Q Plumbing Sprinklers F�Generator 0 Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ ®. <�_ Utilities Sewer LJloSeptic Building Height:
OWNERAI SSEE: 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
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: 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:
Zip: Phone: Zip: Phone:
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 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,
accassory 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 jobsite
before the first inspection. If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
S'WtCre Agent/Lessee see S"t5re of Contractor/License
STATE OF FLORIDA STATE OF FLORIDA
COUNW OF SAINT LUCIE COUNTY OF SAINT LLICIE
The forgoing instrument was acknowledged beftore me The for-soing instrument was acknowledged before me
this.41day of &a 20,/-Z by thia-Z'Ziav of 20_a by
JAMES W LAW JAMES W LAW
(Name-of person acknowledging) (Name of person acknowledging)
k
-CSign�Mfe of Notary Public-State of- o
Florida-}rldw) (Signature 'fNotary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
' i
Type of Identification Produced - Type 6 f Identification Produced
JEAlef Law Juliet Law
Commission No. --GG 046735 NOTARY PUE LiCbmmission No. ~GG 046721's NOTARY pUBUC
STATE OF FL)RIOA STATE OF FL()RI!
COMM#GGExplreB 04,1731; COMR ,AAA 4;1*,
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAMON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS