HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
Building Permit Application FEB 7 2017
Planning and Develdpmeat Services
Building and Code Regulation Division PER,'01-17ING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucia Coun4r, FL
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residentlil X
PERMIT APPLICATION FOR: Electrical
I IFROPOSED INPROVEMENT LOCATION�x-
�Addresv. 60
I
jLegal Description:
,Property Tax ID#: 3414-501-1701-000/9 Lot No.
1Site Plan Name: Block No.
i
lProject Name:
Setbacks FroM_ Back- Right Side- Left Side:
{DETAILED
DESCRIPTION OF WORK:
Replace meter center with a combo pack„
tIONSTRUCTION INFORMATION:
[Additional wor tobe nerfarried underbeck all that appy:
MVAC [:Gas Tank --h'--erm F-1
ffG a s Piping i ncg Shutters Windows/Doors
Electric Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: $0.Ft of First Floor:
uSewerF
Cost of Construction: ea Utilities, Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000S US#I Suite 402 Company: LaVs Electric, Inc.
City: 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: 24952 - Fax 772-878-3347
:E-Mail: Phone No. 772-97144512
Fill in fee sirriple'ritle Holder on next page(if different E-Mail: lawselectricinc&of.com
from the Owner listed above) State or County License: ER0000122
It value of construction is$2SOD or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNERIENGINEER: ,/ Not Applicable MORTGAGE COMPANY: Not Applicable
te: Name:
ress: Address:, `
lty: State: City. state:
�p: Phone: Zip: Phone:
JEE SIMPLE TITLE HOLDER: _L/ Not Applicable BONDING COMPANY: _Not Applicable
ame• Name:
ddress: Address:
Zip: Phone: Zip: Phone:
I
ger ifythat no work or installation has commenced.priorto the issuance of a permit.
St Lucie County makes no representation that Is granting a permit will authorize the permit holder to build the subjectstrudure
,kuhich is in con ict with anr�yy a�pplicable Home Owners Association rules,bylaws or and covenantsthat may restrict or pr9hi6it such
cwre,Please consult wrth your Home Owners Association and reyiew your deed for any restrictions which may apply.
consideration of the granting ofthis requested permit,l do hereby agree that I wilt,in all respects,perform the work
accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
e following building permit applications are exempt from undergoing a full concurrency review:room additions,
ecessory structures,swimming pools,fences,waU 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 your paying twice for
mprovements to your property.A Notice of Commencement must be recorded and posted on the jobsite
efore the first inspection.if you intend to obtain financing,consult with lender or an attomey before
mmeri 'n work or recordingour Notice of Commencement
-;4/X, -
i tore of Owner/Agent/Lessee p6ature of ContractorJLicense Holder
ATE OF FLORIDA = STATE OF FLORIDA
'COUN7 OF SAINT LUCIE COUNTY OF SAINT LUCIE. .
The farg ing instrunme twos acknowledged before me Th fors 'ng instru w acknowledged before me
this of _ 20 Eby day of y
i
-JAMES W LAW JAMES W LAW
7:eriDn acknowledging) IN of person acknowledging)"
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(Signature of Notary Pubric-State of Florida) (Signature of Notary Public-State of Florida]
Personally Known ✓ OR Produced Identification Personally Known * �— OR Produced Identification
!Type of identification Produced Type of Identification Produced
;Commission No. 43 Commission No._ (SeaEp
AN1 EBRD WALMAGN �:)•"•
Revised 07M/2014 '•��,� �IRESAp� Eff MY COMMISSION 0 FF984663
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COURM REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
;DATE
COMPLETE
INITIALS
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