HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:�LIJl1lZ. ,��/ Permit Number: k(OCA-W t O
lUNd 0620118
Building Permit Application
Planning and Development5emices
Building and Code Regulation Division
2300 Vfrginlo Avenue,Fart Pierce FL 34982
Phone:(772)462-7.553 Fax:(772)462-7578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED 1NPROVEMENT LOCATION: _
Address- -
Legal Description:
Property Tax ID#:— 3414-501-1.701.-000/9 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:
AddMonal work o be nertormed unclertHFS perrnit—c ec a appy:
0HVAC L J Gas Tank FIGas Piping _Shutters k __I Windows/Doors ,
9 Electric Q Plumbing Sprinklers 11 Generator gRoof
Total Sq.'Ft of Construction: S Ft.of First Floor.
Cost of Construction:$r� �C�' 00 Utilities:C Sewer F (Septic Building Height:
OWN ERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc.
Ciltv. 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 Fa)c 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG—NE RjENGINEER: V Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City: State: aty: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: I Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address- Address:
city: City:
ZIP: phone: Zip: L Phone:
I certify that no work or installation has commenced-priorto the issuance of a permit
St,Lucie County makes no representation that is granting a,permitwiill authorize the permitholderto 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 rAth your Home Owners Association and review your deed for any restrictions which may apply_
In consideration of the granting of this requested penia l do hereby agreethat i will,in all respect s,perform the work
in accordance with the approved plans,the Florida Building Codesand St.Lucie County Amendments.
The following building permit applications are exemptfrom undergoing afull concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usestfa another non-reddential use
WARNING TO OWNER:Your failure to Record a Notice of Coramencerrtent may result in your paying twice 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 financing,consult mirth lender or an attorney before
commencing work or recording our Notice of Commencement.
siWature of Ownerf-Agentl Lessee $6,tature of tonbractorlUcense Holder
STATE OF FLORIDA SAINT LUgE COUNTY or-_FLORIDA SAINT LUCITE
T1C OF
cOUN
Mmfo- sng insmo was acknowledged before me The famninng ostnsment was acknowledged before me
this �P� t
aY of It o: c 20?m9aY ��— Y• Y
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person admowledging)'
(SiNotary Public-State of Florida) (Sign otary Public-State of Honda)
Pesonally Known OR Produced Identification Personally Known V' OR Produced identification
Type of ldentifion Produ ::
ced Type of Identification Producers
NOTARY PUBLIC _ �STATE
ET I.AWCommission No_ EE 845906 commission No. EE 846906AitY Ptisuc—- ATE OFP40RIDA OF FLORIDA
Comm#ff84890
EWres 10ne=6
Revised 07115/2014
REVIEWS GAUNTER RONT EVIEWREVIEW SUPERVISOR REVIEW REVIEW S REVIEW MANGROVE
DATE
COMPI�TE
IINfi7ALS
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