HomeMy WebLinkAboutBuilding Permit Application I -
ALL ADPL ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: J - Permit N �,f
RE(7,E1VED
Building Permit Application NOV 12 2019
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Aver]ue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: 1 lr
Legal Description:
PropertyTax lD#: 1309-111-0001-0001a 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
CO�iltfl—oziial�worktobenertormea
CTION INFORMA ]ON:
un ert is permit—c ec a appy:
HVAC L
Gas Tank FIGas Piping _Shutters a Windows/Doors
I�1 Electric F� Plumbing Sprinklers Generator FIRoof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ r . UtilitiesSewer Septic Building Height:
OWN ERAESSEE: CO NTR,",CTO R:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electrics 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 B;required_ 1
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: V Not Applicable BONDING COMPANY: Not Applicable
Name:
Name:
Address: Address: ..
CRY: 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,
accessory structures,swimming pools,fenceswalls,signs,screen rooms and accessory uses to another non-residential use
WARNIMG TO OWNER:Your failure to Record a Notice or 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.
dA
Si Lure Owner/Agent/Lessee Sipff6tr1re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUIMOF SAINT WCIE COUNTY OF SAINT LUCIE
The forgoing instruf.sent was acknowledged before me The foraoing instrument was acknowledged before me
thiday of _)J4e<,), 20Z--?-by thlEe4a4ay of 20.ZZ by
-44MES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
X
'*fN ry Public-State of Florida
(signature'of N
{SignLuteof Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identifflcatfion
Type ofidentificatLion Produced imet Law Type of Identification Produced-
NOTARY 467315 Juliet Law
-CommissionNo. -GG046735 PU mmission No. GG 0 NOTARY PUBLIC
o STATE OF FILE,
Comn* O�RICDA STATE OF FLORIE
Expires 11/1312020
Rlmrlsed 0711512014
REVIEVVS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
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