HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
R
Building Permit Application' APR 2 1
Planning and Develo0mentservices
Building and Code Regulation Division PERFA ITTI NNI G
2300 Virginia Avenue,Fort Pierce FZ 34982 St.Lucie County, FL
Phone.,(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION-'
Address: 7
Legal Description:
Property Tax ID#: 0(X) 5- ort 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 I.NFO' RMAIION:
AdditionalworktobapaFForined under this permit—check all apply:
E_3HVAC L^1 GasTankas Piping Shutters Windows/Doors
EElectric F]Plumbing Rsprinklers Elenerator EIRoof
Total Sq.Ft of Construction: Sa.Ft.of First Floor:
Cost of Construction:$ cz-5_ePO., 0 6 Utilities:0 Sewer USeptic Building Height
OWNERILESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402 Company. Law's Electric, Inc.
City: Port SL Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax-._ City: Port St Lucie State: FL
Phone No. 772-878-5513 Zip Code: 3052 F= 772-878-3347
E-Mail: Phone No. 772-9714512
Fill in fee sirnple'Title Holder on next page(if different E-Mall: fawselectricinc@aoT-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 is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ✓Not Applicable
Name: Name:
Address: Address:
City: State- City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: L/Not Applicable BONDING COMPANY: r/Not Applicable
Name: Name:
Address: Address
Gty: CiLT-
Zip: Phone: Tip: Phone:
OWNER/CONTRACTOR AFROVIT.-Application is hereby made to obtain a permit to do the work and installation as indicated.
I-certify 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 is in conflict with a applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your home Owners Assoiratibn and review your deed for any restrictions which may apply-
In consideration of the 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
commencin work or recordingy9gir Notice of Commencement-
Signore
ommencement.Sign re of Owner/Agent/Lessee Sig re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY COUNTY OF
The forgoing instrurrfe was acknowledged before me The forgoing instrurUero was ac}powlednd before me
th (day of s � .20/2by thY day of� 20, by
LA-CA)
(Name of person acknowledging I (Name of person acknowledging j
[5i atu of Notary Public-State of Florida) (5 atu of Notary Public-State of Florida
Personally Known ✓OR Produced Identification Personally Known Ai OR Produced Identification
Type of Identification Produced 3UIff-tmwType of Identification Produced
8 Juliet Law
Commission No. STATE OF ( ssion No_ G�� NOTARY PURL!
046735 - - S1A1EOFFLqRi A
ires 1',11312020
Revised 07/1512014 � Expires 11113121 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE _
COMPLETED
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