HomeMy WebLinkAboutBuilding Permit Application AtIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICAMON TO BE ACCEPTED
Date: O;r- .2017 Permit Number:
F'EC
Building Permit Application MAR 14 2017
i Planning and Developmentservites
PERMITTING
Surlding and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEM ENT LOCATION:
Address:— 4�E49 16 oa=-
Legal Description:
PropertyTaxil)#- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back:_Right Side: Left Side:_
F DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack-
[CONSTRUCT-ION INFORMATION:
Additionalworktobe ertormed under is permit– iapply:
g; FIShutters
OHVAC Gas Tank FlGas Pip—inchec"all t13" Shutters"
R-111illectrIc UPlumbing ElSprinklers FIGenerator ORD&
Total Sq.Ft of Construction, So-Ft.of First FFloor.
Cost of Construction:$ 1*-0, utdities-TISewerISepfic Building Height
OWNERILESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address- 8000 S US#I Suite 402 Company: Laws Electric, Inc.
City: Port St.Lucie State: FL Address. 218 Beach Avenue
Zip Code: 34952 Fax: City: Port SIL Lucie State- FL
Phone No 772-878-5513 Zip Code: 34952 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee Ample Title Holder on next page(if different E-Mail: I;awselectddnc@aol-com
from the Owner listed above) State or County License: ER0000122
I
If value of construction is$2500 or more,a RECORDED Notice of Commencement!!;required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
®ESIGNER/ENGiNEER: u/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Warne: Name:
Address: Address:
�EtY: State: City: gam•
p: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _j/ Not Applicable BONDING COMPANY: _j/_Not Applicable
�11ame: Name:
Address: Address:
qty: city:
Tip: Phone- Tip: Phone:
it certify that no worts or installation has commenced.prior to the issuance of o permit
St Lucie Counttyy�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 Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners'Association and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit,I do hereby agree that I will,in all respects,perform the worts
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,walls,signs,screen rooms and accessary uses to another non-residential use
YVARNiNG TO OWNER:Your failure to Record a Nouse of Comrnencement way result In your paying twice for
�mprOvements 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
commence worts or recording ur Notice of Commencement.
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i 5i re of Owner/Agent/Lessee Sig re of ContractorlUcense Holder
ISTATE OF FLORIDA STATE OF FLORIDA
CgOUN7Y OF SAINT WCIE COUNTY OF SAINT LUCIE. .
;Theforgoing instrumentwas acknowledged before me The forgoing in ment was acknowledged before me
this[!day of�zjz.� . 20.Uby this/��dayof 20J by
JAMES W LAW JAMES W LAW
�Na of person acknowledging) (Nam person acknowledging)'
j gnature of Notary Public-State of Florida) (Signature of Notary Public,State of Florida)
Oersonally Known OR Produced Identification Personally Known_OR Produced Identification
Type of Identification Prod''uwed Type of Identification Produced
Commission No. 9� c.�3 Commission No.
- '' AIVNQ BROWN A-MACH r'. .Y NE BROWN WALMACH
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EXPIRES �,. EXP1REs Apra 2f,
Revised 07115/2014 r 39UI53 '�"t 2?.2fi2o t<ar)3i4,� 2020
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REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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