HomeMy WebLinkAboutBuilding Permit Application 000l/0003
12/10120.19 12:461>M FAX 7722042180
SL
ALL APP" SLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Number.
CEIVED
Building Permit Application DEC 2 0 2019
Planning and Develadment Service
Building and cdde 9egu1WD i Div&inn ST. Lucie County, Permitting
2300 irrginio Avenue,Flirt Pierce FL 349V
Phone:(7z).4621553 FM(7n)462-M8 Commercial Residential
PERMIT APPLICATION FOR: ElecWcal
PROPOSED INPROVEMENT i. CATION:
Address: -
Legal Description:
Property Tax lD#: 3427-111-0002-OW/5Lot No.
Site Plan Name.- Block No.
Project Name:
Setbacks Front Bach _ .._fright Side-._Left Side:
DETAILED DESCRIPTION OF WORK:
Replace mater canter with a combo pack:at each address
CONSTRUCTION INFORMATION:
rfaona wo to a ohne un er is permit—c ec a app y:
0HVAC Gas Tankas Piping _Shutters OWindows/Doors
EjElectric Plumbing DSprinbders Generator ORdof
Total Sq.Ft of Construction: $a.Ft.of Hirst Floor:
Cost of Construction:$,, �'. C Q �_ Utilities 13Sewer aeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Garp. Name: .lames W Law
Address.'--t8-00 B US#1 Suite 402 Company: Law's!electric,lno,
City: Port 5t Lucie State: - Address 218 Beach Avenue
zipcode: 84952 Fax: City: Port St.Lucie "FL
Phone No. 772-878.6513 Zip Code: 34952Fax: 772«$7&3347
E-Mail: Phone No, 772-971-4612
Fill in fee simple Title Holder on next page(if different E-Mail: lawseleWcinc@aol.=n
from the owner listed above) State or County License: EROt10012-2
if value of conwaction is$2500 or mare,a iit:CpR RI)Notice of Commencement is Xequired,
[ } 0002/0003
12/19/2019 12:46PId FAX
7722042180 SL
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: Not Applicable !MORTGAGE COMPANY; _Z Not Applicable
Name: Name: t
Address: Address:
CirtY' State: City. State:
Cir: Phone: Zip: Phone:
EEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name= Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
i certify that no work or installation has commenced priorto the issuance of a permit.
St.Lucie Counter makes no representadon that is granting a permit will authorize the permit holder to Build the subject structurewhich 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,t do hereby agree that 1 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:Year#allure to Record a Notice of Commencement may result in your paying ice 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 finaincing,consult with lender or an auorney before
commencin work or recording our Notice of Commencement.
000
Si tore Owner]Agent)Lessee Si re of contractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
"Ct3t3111T -OF SAINT LUCiE c0UNTy op SAINTLUCIE
The fomyning in was ackriowledged before methis