HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICAKE INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DauPermit Number: C2
Building Permit ApplicationIV' e0-
Planning and Inevelopment5entices
Bullifing ond Cade RLgulutfon Division 'Pet o, VY
230C,Virginfa Avenue,Fort Pier-:e FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERI JTAP )UKATION FOR: Electrical
- E-
PROPOSED INPROVEWNT LOCATION:
Address:
Legal Orsscripti)n:
.
Property Tax ID 4: 130'-111-0001-00015 4 L Lot No.
Site Plan Name: - Block No.
Praia zt-i qa m el:
.i .-
Setbact.'s Fro.it Back: Right Side: Left Side:
DETAILED [PrESCRIPTION C)F)JV0RK:
Replace meter center with a combo pack
CONSTRUCTION I-NIFORMATION:
Acielitionalwort tobeoF-?rf-6fnied under this peftn—t-c eckalltbalap I
app Y,
OVIVAC 13 Gas Tank F]Gas Piping I J FShutters Vifindows/Doors
VIE;ectric Plumbing O.Sprinklers InGenerator Roof
Tota:Sq.Ft of Construction- Sq-Ft.of First Floor:
Cost of Zonstr-ction: Utilities.1 -ISeweroSeptic Building Height:
OWNERILESSEE: CONTRACTOR:
Narre Wynne Building Corp. Name: James W Law
Address: 800SU541 Suite 402 Company:' LaWs Electric, Inc-
City: Part St Lucie State: FL Address: 218 Beach Avenue
Zip ::ode; 34952 Fax: City: Port St.Lucie State: FL
Phone r4o. 772-878-5513 Zip Code: 34952Fax: 772-878-3347
E-Mail: Phone No- 772-971-4512
Fill in fee simple Title Holder on neit page(if different E-Mail: lawselectricincPaol-corn
from tt'lie Owner listed above) State or County License: ER0000122
If value of consSuctionis$2900ormore,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: !,
DESIGNER/EllNEER: ^Not Applicable MORTGAGE COMPANY: Not Applicable
Name- I Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _Nat Applicable BONDING COMPANY: _„Not Applicable
Name: Name:
Address: Ad dress:
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 priorto the issuance of a permit.
St.Lucie Count 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 j
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit,I do hereby agree that I will,in ail respects,perform the work
in accordance with the approved pians,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 usesto another non-residentlal 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
WIITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:"
I
WR'
,
ature of Owner/Lessee/Contractor as Agent for Owner ' ature of Contractor/License Halder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � � ./L,C.t1z COUNTY OF
Thefor ling instrument was acl nowledged before me The forgoing instru ent was cknowledged before me
thisday of 24aGby this_�?_day of 2Q2.0 by
Name of person making statement. Name of person making statement. i
Personally Known L/OR Produced Identification Persanally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
{signature of
i - da) {Signature =STATE
gtporida I
STATE OF FLO LORIDA
CommissionS 1} Commissi> 62/8D (5eal)
Expira9 9/28/2022 s'' E}�►� Expires 9/28/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.2/7719
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