HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO HE ACCEPTED
Date: Permit Number:
Building Permit Application MAY 0 8 2017
Planning and Development Services
Building and Code Regulation Division PERMl-JrTiNG
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(772)4621578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 3414501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks FrontBack:_Right Side--_Left Side:
DET LED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCT#ON INFORMATION:
-Additional work toi5a nerformed unalyemiit-check all tnatappy:
0HVAC 11Gas Tank alias
piping F]Shutters Windows/Doors
R]Electric Q Plumbing OSprinklers InGenerator DRoof
Total Sq.Ft of Construction: Sq.Ft.of First Floor
Cost of Construction:$ 4:�0,04Utilities:oSewer 0 Septic Building Height:
-OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address- 8000 S US#1 Suite 402 Company: Laws Electric,Inc.
City: Port St. Lucie State:FL Address: 218 Beach Avenue
Zip Code: :34952 Fax: City: Port St Lucie State: FL
Phone No. 772878-5513 Zip Code: 34952 — Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
FAA in fee simplelitle Holder on next page I if different E-Mail: lawseleWcinc@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: ✓ Not Applicable MORTGAGE COMPANY: ,f Not Applicable
Name: Name:
Address: Address.
City: State: City: State:
-
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address• Address:
City: City:
Zip: Phone: Zip: Phone:
i certify that no work or installation has commenced prior to the Issuance of a permit.
St.Lucre County makes no representation that is granting a permitwill authorize the permit holder to build the subject structure
which is 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 reviewyour deed forany restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agreethat I wilt,in all respects,perrorm the work
in accordance with the approved plans,the Florida Building Codes and St.Luse CountyAmendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,ween rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yourfailure 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
commengag work or recording our Notice of Commencement.
Sign re of Owner/Agent/Lessee Si re of Cantnact�orlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNIYOF SAINT LUCIE COUNTY OF SAINT LU.CIE...
The fo i g instn pn*was acknowledged before me The focaor�rg instrum�was acknowledged before me
this ay of 20 ZZby this may of 204�&by
Or
TAMES W LAITY JAMES W LAW
(Nam person admowledging) (Na of person acknowledging)
►' - 1, :v NILS G .
(Signature of Notary Public-State of Florida) (Signature of Notary Public State of Florida
Personally Known OR Produced Identification Personally Knownie' OR Produced Identification
Type of Identification Produced Type of identifltation Produced
Commission No.fG ( ) _ ANN ROENN A A
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REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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