HomeMy WebLinkAboutBuilding Permit Application ALL APP (CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED zq
Date- I Permit Number: 1
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Building Permit Application MAR 14 2017
Planning and DevelopmentServices PERlAITTiPJG
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Bectrical 0
PROPOSED INPROVEMENT LOCATION:
Address: t
Legal Description-
PrcpertyTax ID#- 130o6,111-0001-000]e t 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:
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Additionalworkto e e orme un er t is permit—c ec a apply:
F1HVAC Gas Tank EJ Gas Piping _Shutters Windows/Doors
Electric ElPlumbing Sprinklers Q Generator E]Roof
Total Sq.Ft of Construction: S _Ft.of First Floor:
Cost of Construction:$_�, q� Utilities: Sewer Septic Building Height;
OWNERAESSEE: CONTRACTOR:
Name Wynne Burlding Corp_ Name: James W 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: Part St 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 Holder on next page(if different E-mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: E:R0000122
if value of construction is$2500 or more,a RECORDED Notice of Commencement rs required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES[GNER/ENGINEER: NotApplicabie MORTGAGE COMPANY: V Not Applicable
ame: Name:
ddress: Address•
Gty State: City: state.•
4ip: Phone: Zip: Phone:
FEE SIMPLE TYLE HOLDER: _/ Not Applicable BONDING COMPANY: Not Applicable
dame: Name:
Address• Address:
C(ty: city:
Zi p: Phone: Trp: Phone:
!certify that no work or installation has commenced.priorto the Issuance of a permit
Lude County makes no representation that is granting a permit Vil authorize the permit holder to build the subject structure
which is in conflict with an�r appllpWe Home Owners Assoc�on rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult w your Home Owners Association and review your deed for arry restrictions which may apply.
I�consideration of the granting of this requested permit,l do he agree that 1 will,in all respects,perform the work
in accordance with the approved plains;the Florida BuildingCorles 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,wails,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
ilnprovementsto 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
6mmencing work or recording our Notice of Commencement.
Sture of Owner/Agent/Lessee SWfatuie of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTiFOF SAINT WaE COUNTY OF SAINT LUQE__.
The fore ng in mentwas acknowledged before me The forgoing instrument_was acknowledged before me
thi A-0 of 202 7 by th ay of 20.42 by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Larne of person acknowledging j
Imo/
i( re of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
tifi )
Personally Known OR Produced Identification Personally Known ` OR Produced Identification
Type of Identifiication Produced Type of Identification Produced
Commission No. � (seal) Commission No. (Sealy
;i�'•'" ANNE BRO N •ti:•
MY C0MMI9810N R FF9&663J 'r MV COMMISSION ivFF9W63
Revised 47/15/2014 .. "PiRgs Apre 21;solo . '✓ EXPIRES April 29,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMAI.S
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