HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number.4
RECEIVED
Building Permit Application FEB 2 7 2017
Planning and Development Services
Building and Code Regulation Division PERMITTING
2300 Virginia A venue,Fort Pierce Ft 34982 St. Lucie County, FL
Phone:(M)462-1553 Fax:(7n)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: ElecWcal
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 3414-501-1701-000/9 Lot No_
SitePlan Name. Block No.
Project Name,
Setbacks Front
Back:_Right Side:_Left Side:
IDETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
�CONSTRUCTION INFORMATION:
_lAdditrona iworictob 6 rformed under this permit—ccK 511 pLg apply:
IJHVAC Gas Tank "Shutters
E]Gas Piping OWindows/Doors
Electric Q Plumbing E]Sprinklers E3 Generator tYJ Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ Utilities:aewerFleptic' Building Height:
OWN ERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402 Company.- Law's Electric, Inc.
c1tv: Part 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- 34,§52 Fax: 772-878-3347
i.-mail: Phone No. 772-971-4512
Fill in fee simple:Title Holder on next page(if different E-Mail: lawselectritinc@aol.com
from the Owner listed above) State or County License: ER0000122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: V Not Applicable IVIIORTGAGE COMPANY:Name:Name' Not Applicable
4ddress• Address
State: State•
t,P: Phone: ZIP: Phone:
�
E SIMPLE TITLEHOLDER: t/ Not Applicable BONDING COMPANY: ;, Not Applicable
ame: Name:
Address~ Address:
ty: may:
Phone: Zip: Phone:
i1 certify that no work or installation has commenced priorto the issuance of a permit.
Lurie Oaumly makes no representation that is grating aperm3t will auitharize the permit holder to bm'td tli subject structure
ch is in wnftict with any applicable Home Owners Assoi�Tatian rules,bylaws or and covenants that may restrict or proiu'bit such
sinucture.Ptease consult wrkh your Home Owners Association and review your deed for any restrlcGons which may apply,
I,consideration ofthe granting of this requested permit,t d�hereby afree that i vuiti,in alt respects,perform the work
in accordance with the approved pians,the Florida$tu7ding Caries anti St Lucie CounEy Amendments.
-�e following building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessary structures,swimming pools,fences,waif,signs,screen rooms and accessory uses to anodser non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result In your paying twice for
i�mprovernents 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
commencing work or recordiniz your Notice of Commencement,
Si re of Owner/Agent/Lessee S re of Contract jUce ese Voider
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'STATE OF FLORIDA STATE OF FLORIDA
1COUl1iITYOf= SAINT LUCIE COUNTY OF SAINT LUCIE...
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The for�g,o,�ng instrument was acknowledged before me The fo�aing instrument was acknowledged before me
j this&S.,day of A" „-, 2027 by thi ay of„ d ,r .20,,/� by
,_„DAMES w LAW JAMES w LAW
;(Name of person aclmowiedging) (Name of person acknowledging)'
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(Signature of Notary Public State of Florida) (Signature of Notary Public-State of Florida)
iRersonally Known OR Produced lderitiftcation Personally Known �OR Produced Identification
:Type of Identiiicat M i'roduced Type of ldentrRcation Produced
Commission No. Z {Seat) Commission
' 5L ANNE BROWN wAj AmA,
MY COMMISSION#FF964063 IIAY COA4It1iSSIC►A1#FF984683
Revised 07/15!2414 '• ,,,, EDMI tES April 21;20 April 21,2020
I4or s9aotas EXPIRES
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
,DATE
:COMPLETE
INITIALS
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