HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6 saf&� Permit Number.
RECEIt'-D MAR 21 19917
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virgin is Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical 0
PROPOSED INPROUEMENT LcO-C�ATIO
Address: `lam ' o�
Legal Description:
Property Tax ID#• 1301-111-0001-00015 ?L. Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Sack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK-..
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
ttiona wor epe1 orme under this permit–check a appy:
HVAC 1-Gas Tank E]Gas Piping _Shutters a Windows/Doors
QElectric 0 Plumbing 05prinkiers FIGenerator D Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ 606, e!:)6) Utilities-t—,
tilities Sewer�Septic Building Height:
PIlOWNER/LESSEE: CONTRACTOR:
Name Wynne Building 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, Port St.Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34852 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselect(cinc@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. .
CA -9531-699-699 Lti££9L9ZLLMdI 896:60 Ll, OZ aelN
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address Address- L
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLETn1E HOLDER: j/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone-
I cert6fythat no work or installation has commenced.priortothe Issuance of permit.
St Lucie Counttyy makes no representation that is gramIng a permit will authorize the permit holder to build the subject shvcture
which is in corriiict 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 of the granting of this requested permit,I do hereby agree that 1 will,in all respells,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
commend-an work or recording your Notice of Commencement.
Signa re of owner/Agent/Lessee SigaftreW Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNWOF SAINT LUCIE COUNTY OF SAINT LUCIE_ .
TheforgoingInstrumentwasacknowledged before me Thelbrgoing instmmentwasacknowledgedbeforeme
this day of2o-L by this day of -2-01-7cv
JAMES W LAW JAMES W LAW
(N of person acknowledging} (Nam person acknowledging}•
a�� ��L�L
( ignature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Knowny OR Produced Identification Personally Known Z_OR Produced ldentifiicatim
Type of Identification Prod
��u
//ced Type of Identification Produced
Commission NoZzYw "3 �AL�MACH
mmission No.
,ji• ''''t;_ ANNE BROWN K- NE BROWN WA�fACH
,rrnAAA4658t T.
63 j
Revised 47/15/2014 wc�"xo,ssP s April z9,2020 t4oiiasao ss W21.204 fJ
Hoaensnea.oa n
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
�'d -8926-699-699 LV££8L8ZLLMd1 a9V60 Ll• OZ aeW