HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: February 27, 2020 Permit Number: O
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Building Permit Application
RECETVE-b
Planning and Development Services FEB 2 7 2020
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772)462-1553 Fax: (772)462-1578 Commercial X Residentia
PERMIT TYPE: Electrical
PROPOSED IMPROVEMENT LOCATION.;
Address: 6026 North US Highway 1
Property Tax ID#: 1405-330-0003-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRIPTION OF WORK:
Install new 400 AMP single phase service for office and water pump.
.CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 14,000.00 Utili ie _Sewer _septic Building Height:
OWN'ERAESSEE: �C;L Fun c.,ra(-:`5!yi/itcSJCONTRACTOR:
Name LLCr 'Name: James W Law
Address: 6026 North US Highway 1 Company: Law's Electric INc.
City: Fort Pierce State:_ Address: 218 Beach Avenue
Zip Code: 34946 Fax: City: Port St. Lucie State: FI
Phone No. 561-719-0499 Zip Code: 34952 Fax:-
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 ER00!N22
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
If value of HVAC is$7,500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRU.CTLON LIEN LAW INFORMATION.
DESIGNER/ENGINEER: x 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: Not 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
"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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
a-,�4,01 z:g!5e V X,00*g�,
Sign re of Owner/Lessee/Contractor as Agent for Owner 5 nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST,LUCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 27 day of FEBRUARY 20_ by this 27 day of FEBRUARY 20_ by
JAMES W LAW JAMES W LAW
Name of person making statement. Name of person making statement.
Personally Known X OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced
Beverly J.Proske
111t41Zx�1 � ..^ lozaw 66k
(?i nature of Publi o �filOF FLORIDASignature ry Public-State�f� I ridq3�yJ.Proske
GG262780 �=Comm*�G262780 C! NOTARY PUBLIC
Commission No. 7224;3A EXdi '9/26/2022 Commission No. GG262780 § }�OF FLORIDA
Comm#G0262780
Expiremi"M 22
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 217119