HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 201,7 Permit Number:A3 6-651
REM'' FEB 161017
Building Permit Application
Planning and Development Services
Building and code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34.982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residentfal X
PERMIT APPUCATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:-
Address:
Legal Description:
Property Tax ID##: ^3414-501-1701-000/9 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:
ACIattional work toe e Orme un erthis pennit--checka apply:
HVAC E,Gas Tank ❑Gas Piping OGenerator
Shutters �ndows/Doors
EElectric F-1Plumbing Sprinklers Roof
Total Sq.Ft of Construction: . Ft.of First Floor:
Cosi of Construction:$:o?yfg2C2,Ga UtilitiesSewer LJSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James NV 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 SL 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 Bolder 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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SUPPI EMENTAL CONSTRUCTION LIEN LAW INFORMAMON:
DESIGNER/ENGINEER: ,� � Not Applicable MORTGAGE COMPANY: ie Not Applicable
Name: Name:
Address- Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE.TITLE HOLDER- V Not Applicable BONDING COMPANY: Not Applicable
Name: Name:—
Address: Address:
City: may:
Zip: Phone: Zip; Phone:
1 certify that no work or installation has commenced.prior to the issuance of a permit.
St Lucie CounLy 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 Horne Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrth your Home Owners Association and review your deed for arty 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 approver{plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additlom
accessory structures,swimming pools,fences,walls,signns,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Conunencement may rwul#in your paying thrice for
im rovements 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 with lender or an attorney before
commendnR work or recording our Notice of Commencement
SigeAture of Owner/Agent/Lessee SWKaWFe of ContractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY Of SAINT WCIE COUNTY OF SAINT LUCIE",.
The fo oing instrument®w�as aclmowledged before me The forming instrument was acknowledged before me
this '[.eday of �_ , 202by this,6Lclay of 26/2 by
-JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging l
(SViatirre of Notary Public-State of Florida) (Signature of Notary Public-State of Florida I
Personally known OR Produced Identification Personally Known Y Olt Produced Identification
Type of identificatiop�troduced Type of Identification PP oducee
Commission No. , _s c � e r�(Seal) Commission No. r� � {Sealj'
ANNE BROW ,y;:+•••
COMMISSION#FFg04e :•_ MY COMMISSION#FFS84663
Revised 07/15/2014 EXPIRES ApB121;2020
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REVIEWS MONT ZONING SUPERVISOR PLANS VEGETATTON SEATUM MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DA'T'E
COMPLETE
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