HomeMy WebLinkAboutBuilding Permit Application ALL APPLI ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:i& �/ . �� � Permit Number: a4�a-C�50�
�'---� RECEIVED
�- Building Permit Application
Planning and Development Services FFB 19 ^0?0
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce Ft 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Resi ential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LO ATI N:
Address:
• O
Legal Description:
Property Tax ID#: 130111-0001-0001 'l-L✓ 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,
CONSTRUCTION INFORMATION:
Additional work to be performedunder this permit—check athat.appy:
❑HVAC L�I Gas Tank ❑Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers I_1 Generator ❑ Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ ALU c�. C1 r� Utilities:Sewer Septic Building Height:
OWNER/LESSEE: 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 CC?NSTRUGTION LIEN t.AW tNFQRNtAT1QN: :"
DESIGNER/ENGINEER: r 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: TNot 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.
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,fences,walls,signs,screen rooms and accessory uses to another non-residential use
"!"YARNING 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 013TAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
STgiATure of Owner7 Lessee/Contractor as Agent for Owner Si ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNTY OF J ,lr-.� COUNTY OF
The for ing instru nt as acknowledged before me The forgoing instrum nt as acknowledged before me
this/Yday of��2(!?0 by this day of 20 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of u - ida) (Signature b
NOTARY PUBLIC O
o ESTATE OF FLO STATE OF FLORIDA
Commission RJg�l) Commission G26Z78 eal)
3 Comm#0262780omm
y �1e r s 9128/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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