HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
RECEIVED MAY 0 8 2017
Building Permit Application
Planning and Development Services
Building and Code Regulation Divisibi?
2300 Virginia Avenue,Fort Pierce FE 34382
Phone:(772)462-1553 Fax:(772)46Z-1S78 Commercial Residential X
PERMIT APPLICATION FOR: Bectrical
PROPOSED INPROVEMENT LOCATION:
Address-
Legal Description:
Property Tax ID Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks FrontBade_Right Side: Left Side:
D DESCRIPTION OF WORK:
Replace meter center with a combo pack:
[CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—EFeck all t=appy:
HVACLSI Sas Tank Gas' F� Piping "Shutters Windows/Doors
n
ZEIectric 2PIumbing 05prinklers Generator ORoof
Total Sq.Ft of Construction: Sq.Ft.of First(
irst Roor.,
Cost of Constructicn:$ -5-��0, 00 Utilities:0 Sewer liSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address- 8000 S US#I Suite 402 Company: Laws Electric, Inc-
City: Port St -ucle State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax:— City: Port St Lucie State: FL
Phone No 772-878-5513 Zip Code: 34952 Fax: 772--878-3347
E-Mall: Phone No. 772-971-4512
Fill in fee simple TiVe Holder on next page if different E-Mali: lawselectriciricQaol.00m
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.
C-d B90160 16 80 48N
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY- V 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:
CKty: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced.priorto the issuance of a permit.
St.Lucie County makes no representation that isgranting a permit will authorize the permit holder to build the subject structure
which is in conflict vAth any applicable Home OwnersAssoclation rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult weth 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
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
WARMING 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
commenft work or recording our Notice of Commencement.
Si re of owner/Agent/Lessee 5g re of Contractod cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTITOF SAINT WCIE COUNTY OF SAINT LUCIE- .
The ng instru ent was acknowledged before me The forgoing in ment was ncicnowledged before me
th at'of Zo 4a by this day of 20-Z,*
.,AMES W LAW JAMES W LAW
(Na of person acknowledging) (Nam f person acknowledging)'
ignature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identrfrcation Personally Known 1 --' OR Produced Identification
Type of Identification Produced Type of Identification Produced
, L
Commission Nod Commission Na. _ [
;a ANNE BROWN ALMACH ::a �K' ME BROWN WALMACH
'= M
63
EXPIRES Aprfi 27,2020 toot}9�c53 '1RES A0111 21,2020
Revised 07/15/2014 fool asacoss n„�„
cam
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
t'd -29z6-699-L99 Lti££8L8ZLLM'v9 860:60 L6 80 f,aW