HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Number:
RECEI':-D ma 212017
Building Permit Application
Planning and Development services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION,-
Address:
OCATION,Address: _
Legal Description:
Property Tax ID#: '1301-111-0001-00015 ? L 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:
rtiona wor to e e orme under this permit—checic all t=apply:
QHVAC Gas Tank ❑Gas Piping _Shutters E]Windows/Doors
Electric 0 Plumbing Sprinklers El Generator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ ,_500. 00_ Utilities:DSewer D Septic Building Height-
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US##1 Suite 402 Company Lames Electric,Inc_
City: Fort St.Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: port St.Lucie State: FL
Phone No. 772-878-5513Zp 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: 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:
DESIGNER/ENGINEER: a/ Not Applicable MORTGAGE COMPANY: —/ Not Applicable
Same: Name:
Address: Address:
City: State- City: State:
Zp: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: blot Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address-
City: may:
Zip: Phone: Zip: Phone-
I certify that no work or installation has commenced.priorto the Issuance of permit.
St.Lucie Counyy makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Assorlation rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,l 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 exemptfrom 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 faiWre 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 tete first inspection.if you intend to obtain financing,consult with lender or an attorney before
commencine work or recording our Notice of Commencement
Si tore of Owner/Agent/Lessee 5 ature of Contractor/License Halder
STATE OF FLORIDA SAINT WCIE STATE O OFLORIDA SAINT LUCIE..
'COUNTY OF
The forQQjng Ip�s��m._.ent was acknowledged before me u ng instrument was all owledged before me
thi ..tlalr of„Z �� 2022 by that'of 20� b11
-JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)*
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A,-
(giThature of Notary Public,State of Florida) (Signature of Notary Public-State of Florida}
Personally KnownOR Produced Identification Personally Known 1�011 Produced Identification
Type of identification 1roduced Type of Identification Produced
comynbudon No. `7� la (Seal) Commission No. r 7 d in to (Seal)
ANNE BRnWid IN ''•
MY COMMISSION#FF9U863MY COMMISSION#FF9W63
Revised 07/15/2014 , , Ex IRES APM 21 j 2020 EXPIRES April 2l,2620
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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