Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r Date: 1" Permit Number: Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34992 Phone:(772)462-1553 Fax:(772)46-2-1578 578 Commercial Residential x PERM IT APPLICATION FOR: Electrical .: PROPOSED INPROVEMENT LOCATION: Address: Legal Description: Property Tax ID#• 3414-5011701-00019 Lot No. Site Plan Blame: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: _ Replace meter center with a combo pack s 'CONSTRUCTION INFORMATION: Additronal work to be pertormed under this permit—cliecRa—lTMEapply, ©HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors Electric 11 Plumbing Sprinklers 0 Generator D Roof Total Sq.Ft of Construction: S .Ft of First Floor. Cost of Construction:$ X70. �Q Utilities: Sewer�5eptic Building Height: OWNER/LESSEE: CONTRACI-OR: Name Wynne Building Corp. Naive: James W Law Address: 8000 S US#I Suite 402 Company: Law's Electric, Inc. City. Part St Lucie State:FL Address: 218 Beach Avenue Zip Code: 34952 Fax: City: Port St.Lucie State: FL Phone leo. 772-878-5513 Zip Code: X952 Fax: 772-878-3347 E-Mail: Phone No. 772-979-0512 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: ER0000122 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. C'd -99ZL-199-699 LVCO2L9ZLLMV1 e0Z:90 L6 90 Jen SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNER/ENGINEERS ,/ Not Applicable MORTGAGE COMPANY: ✓Not Applicable Name- Name; Address: Address-. City: State: City: state.- Zip: Phone- Zip: Phone: EEE SIMPLE TITLE HOLDER: _i/,Not Applicable BONDING COMPANY: ,Not Applicable Name: Name: Address: Address: city: city: Tip: Phone: Tip: Phone- l certify that no worts or installation has commenced.prior to the issuance of a permit St.Lude Count�yy nYamakes no representation that's granting a permit will authorize the permit holder to build the subject structure which is in corrflidt with applicable Home Owners Association rules,bylaws or and covenants that may restrict or prolu'bit such structure.Please consult your Horne 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 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,walls;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 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 commendna work or recording our Notice of Commencement Si tore of Owner/Agent/Lessee 8&ature of Contractor/License Bolder STATE OF FLORIDA STATE OF FLORIDA 'COUN7YOF SAINT WCIE COUNTY OF SAINT LUCIE The fa gin entwas id wledged before me The forgoing instry was acl nowledged before me this day of 2fl�,'Lby g: ?�aY�, 20jC?.;by -16MES W LAW JAMES W LAW MeLpson acknowledging) (N of person admowledging)- ,, 8JA,4!NL V v (signature of Notary Public-State of Florida) ignature of Notary Public-State of Florida I Personally Known ✓ OR Produced Identification Personally Known $,'-- OR Produced Identification Type of Identification Prod4cedd Type of Identification Produced Commission No. IGF Fzzl �3 Commission No._.��Jr� X6,9 (Seal) AN 1311 WALMACH . Al- • N x.2884663 EXPIRES April 21,202!) MY COMMISSION 0 FF964663 Revised 0711512014 EXPIRES wor)asaos +oriaeav :�a Apd121.2Mo aom REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS ti'd -89ZK99-699 LV££8L8ZLLMb9 13OZ:80 L6 90 JUIN