HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t Q
Date: „�Q�Z-&Z4 f Permit Number:
4
` RECEIV-1 PEAR 3 12017
Building Permit Application
Planning and Develcoment Services
Building and Cotte Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical 0
PROPOSED.INPROVEMENT LOCATION:
Address: 41 `
Legal Description
Property Tax ID#•
^3414501-1701-000/9 Lot No.
,
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF U>`!ORK:
Re0ace meter center with a combo pack at each address
L1STRUCTiQN INFORMATION:-
ona wo to je orme undef is permit-c ec a appy:
L�HVAC Lel Gas Tank Gas Piping _Shutters ❑Windows/Doors
Electric Q Plumbing Sprinklers D Generator Roof
Total Sq.Ft of Construction: So Ft.of First Floor:
dost of Construction:$ G?C.7. ee Utilities:newer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
dame Wynne Building Corp. Name: James W Law
i ddress: 8000 S US 01 Suite 402 Company: Law's Electric, Inc.
Port St Lucie State: FL Address: 218 Beach Avenue
'tip Code: 34952 Fax: City: Port St.Lucie Stage- FL
hone No. �-878-5513 Zip.Code• 34952 Fax: 772-878-3347
E-Mail: Phone No. 2-879-4512
All in fee simple Title Holder on next page{if different E-Mail: lawsetectricinc@aol.com
from the Owner listed above) State or County License. ER0000122
ifjvalue of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�LIPPLEMENTAL CONSTRUC`ION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: v' Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
lame• Name:
Address: Address:
C',ify: State: City State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _1/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Trp: Phone: Zip: Phone:
I i ert that no work or installation has commenced.prior to the Issuance of a permit.
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which!s 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 ofthis requested permit,l do hereby agree that I will,in all respects,perform the work
io accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
Thefoltol 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
VI RNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
qmprovements to your property.A Notice of Commencement must be recorded and posted on the jobsite
efore the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commengpig work or recording your Notice of Commencement.
I
Sign re of Owner/Agent/Lessee S' tore of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
•CpUN7YOF SAINT LUCIE COUNTY OF SAINT LUCIE...
The forgoing instrument was acknowledged before me The f going InstVment was acknowledged before me
• day of ZO 12by this day of 20 °y
JAMES W IAW JAMES W LAW
( a of person admowledging j {Nam f person admowledging)'
i
Q ignature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida 7
ersonaliy Knowny OR Produced Identification Personally Known Z _OR Produced Identification
'la of Identification Produced Type of identillcation Produced
7nission No. b.3 Commission No. _ i
ANNE BROWN ALMACH _ E BROWN WALMACN
••-
63
EXPIRES APr112? 2020 caorjsse Q�s3PtRES AAnl2i 2020
Revised 07/15/2014 '
rrserv,�.W,,, Dora
REVIEWS FRONT ZONING SUPEIkVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVfEW REVIEW REVIEW
PATE
tiOMPLETE
LII�MALS .
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