HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date. Permit Number:
R E C E: V2 D
Building Permit Application MAR 10 2017
Planning and Development Services
Building and Code Regulation Division PERIMITrING
2300 ViryThlo Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 I=(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED-INPROVEMENT WcAnON:
Address: --749,,
Legal Description:
Property Tax ID g. 3414501-1701-000/9 Lot No.
Site Plan Name: Block No.
ProjectName:
Setbacks Front L_ Back- Right Side- Left Side:
I'DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
-CONSTRUCTION-INFORMATION:
Additional workto l3e derformea und is permit--check all t=apply:
E)HVAC E]Gas Tank Ofts Piping "Shutters F-IWindows/Doors
P Electric n Plumbing Sprinklers
— _Shutters
El Roof
I []
Total Sq.Ft of Construction: SQ.Ft.of First Floor.
Cost of Construction: Utilities:OSewer 0-
Septic Building Height
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US;ff I Suite 402 Company: Laws Electric,Inc.
CJtV: Port SL 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 — I'ma 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee sfrnple'ritle Holder an next page(R different E-Mail.- lmvvselectricinc@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:
DESIGNERjENG1NEER: I,/ Not Applicable MORTGAGE COMPANY: ✓ Nat Applicable
Name- Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone-
FEE SIMPLE Tn'#.E HOLDER: _•Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City_
Zip- Phone: Zip: Phone:
1 certify that no work or Fnstallation has commenced-prior to the issuance of a permit-
St
ermitSt Lude Coun�tyy makes no representation that is grana-ng a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assonaton rules,bylaws grand covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and reWi wyour deed for any restrictions which may apply.
In consideration of the granting of this requested perm4t Ido hereby agree that i wilt,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,wafts,sigma 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
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 with lender or an attorney before
commencing work or recording your Notice of Commencement
Si re of owner/Agent/lessee X&ature of Contractor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNWOF SAINT WCIE COUNTY OF SAINT LUCIE .
Theforgoing 1 t ackno dged before me The€orgotng instru stat was ackn ledged before me
�;,day of 20 Abp thtsrlay of 20f f:by
.,TAMES W LAW A JAMES W LAW
l e of person aclurowledging! (N of person acknowledging)'
L
,&641 Allk-6 Yl1
[Signature of Notary-Public-State of Florida} ignature of Notary Public-State of Florida]
Personally Known ✓ OR Produced Identification Permnally Known $�'— OR Produced Idendfication
Type of identificaEion Produced Type of Identification Produced
Commission No. FF Commissiar:luo. - ��,� oealj
ANNE SRO WALMACiq
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Revised 07/I5/24I4 (ac s ostia ARES APM7 27,2020 i;�•
F+or�aeN .can °;, .• EXPIRES Apn7 2!.2020
REVIEWS FRONT ZONING SUPEKVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMAI.S
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