HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COM TED FOR APPLICATION TO BE ACCEPTEDW, h(�
Date. October 1st2020 Permit Number: in ,L� \�
RECEIVED.
° ° p Building Permit Application OCT t 3-2020
Planning and Development Services Permitting Department
Building and Code Regulation Division Commercial Residential
St.Aucie County-
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Electric
PROPOSED, hIVIPROVEMENT-LOCATION
Address: 13405 Orange Avenue Fort Pierce
PropertyTax ID#: 2308-321-0003-000-8 Lot No.
Site Plan Name: Block No.
Project Name:
DETAILED DESCRI"PTION OF WORK -
Install new electrical service for an existing mobile home.
New Electrical Meter Second Electrical Meter
CONSTRUCTION-IN,FORIV(ATION ,
"Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _Pond
_Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ SR4C)n, 0 r, Utilities: —Sewer —Septic Building Height:
OWNERAESSEE: :CbNTRAGTOR:.
-<
Name Garcia Lucina Name: James W Law
Address: 118 Sandy Cross Road Company: Law's Electric Inc.
City: Nashville Stater Address: 218 Beach Avdnue
Zip Code: 27856 Fax: City: Port St. Lucie State: FL
Phone No. 772-332-8519 Zip Code: 34952 Fax:
E-Mail: Phone No 72-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail alaw43@aol.com
from the Owner listed above) State or County License ER 0000122
If value of construction is 2500 or more,a RECORDED Notice of Commencement is required.
If value of HAVC is$7,500 or more,a RECORDED Notice of Commencement is required.
i
SU'PPLEMEN"TAL CONSTRUCTION LIEN LAW INFORMATIO,.N
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: P ne:
FEE SIMPLE TITLE HOL ER: x Not Applica a BONDING COM ANY: X Not A licable
Name: Name:
Address: Address:
City: 4 City:
Zip: hone: Zip: Phone:
OWNER/CONTR CTOR AFFIDVIT:App'cation is hereby made to obt in a permit/an
the work a d installation as indicated.
I certify that no wor or ins/na
on has com enced prior to the issuance a permit.
St. Lucie County m kes no entation at is granting a permit will a thorize the perlder to uild the subject structur
which is in conflic with anycable Ho a Owners Association rules ylaws or and conts tha may restrict or prohibit ch
structure.Please onsult wur Hom Owners Association and rev' w your deed for strict! ns which may apply.
In consideration f the graf this equested permit, I do hereb agree that I will, inspec s,perform the work
in accordance th the app pla ,the Florida Building Codes nd St.Lucie County m nts.
The following wilding permpli ations are exempt from and going a full concurreni :room additions,
accessorystr ctures,swim ols,fences,walls, signs,scre n rooms and accessory another non-residential se
WARNING O OWNERr failure to Record a Noti a of Commencement msuit in paying twice fo
impro ements to yroperty. A Notice ofmmencement must brded in the public ecords of St.
Lucie ounty and p on the jobsite befor the first inspection. If ytend to obtain fina cing, consult
with I nder or an ae before commen 'n work or recordingyouice of Commence ent.
Signature of Owner/ essee/Contractor as Agent f r Owner Signature of Co ractor/License Holder
STATE OF FLOR A STATE OFF ORIDA
COUNTY OF SA LUCIE COUNTY SAINT LUCIE
Sworn to(or aff med)and subscribed befo a me of Sworn to( r affirmed)and subscribed efore me of
X Physical resence or Online tarization x Phy ical Presence or Onlin Notarization
this tst day f OCTOBER 2 0 by this tst day of OCTOBER 2020 by
JAMES W LAW JAMES LAW
Name of rson making statement. Nam of person making statement.
Person y Known x OR Pro uced Identification Per onally Known x OR Pr duced Identification
Type o Identification Ty a of Identification
Prod ced P oduced
(Signature of Notary Public- tate of Florida ) (Signature of Notary Public-S ate of Florida )
Commission No. (Seal) Commission No. (Seal)
REVIEWS RONT ZONING SUPER VIS R PLANS VEGETATIO SEA TURTLE MANGROVE
COUNTER REVIEW REVIE REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 0
'SUPPLEM-ENTAL CONSTRUCTION LIEN-.LAW_ INFORMATION.
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 our Notice of Commencement.
qigKature of Owner/Lessee/Contractor as Agent for Owner nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINTLUCIE COUNTY OF SAINT LUCIE
Sworn to(or affirmed)and subscribed before me of Sworn to(or affirmed)and subscribed before me of
X Physical Presence or Online Notarization x Physical Presence or Online Notarization
this 1st day of OCTOBER ,2020 by this 1st day of OCTOBER 2020 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 Produc
Ar�k
(Signatu of Notar�r - bee*5!9r ( ignature of No lic S ate of Florida )
rcT NOTARY PUBLI f NOeTARY PUBLIC
Commission No. STATEOF:V!gAbA Commission CF-FLOIC (Seal)
?Comm*GG262780 Com►rt GG262780
Expires9/26/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE•.. MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.