HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 'Da `2a/7 Permit Number:
10
Building Permit Application MAY 2@17
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
PropertyTaxlD#: "1301-111-0001-00015 =?(: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK-.: , � �
[CONSTRUCTION INFORMATION:
trona wor to e e Orme un ert is permit—checK a appy:
HVAC Gas Tank ElGas Piping Li_Shutters Windows/Doors
Electric Plumbing Sprinklers E Generator Roof
Total Sq. Ft of Construction: Sq.Ft. of First Floor.
Cost of Construction:$ Ufa L-J. Utilities Sewer 0Septic Building Height:
OW N ERAESSEE: 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
PhoneNo. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page{if different E-Mail: lawselectiicinc@aol.com
fromthe Owner listed above) State or County License: ER0000122
I fill
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
IL
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGNER/ENGINEER: _1L Not Applicable MORTGAGE COMPANY: ,�J 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 worts or installation has commenced.priorto the issuance of a permit
St Lucie Coun makes no representation that is granting a permit will a orize the ennit holder to build the subject structure
which is in co i t with wyapplicable dome Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration ofthe granting of this requested permit,t do hereby agree that I will,in all respects,perform thework
in accardancewith the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto 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 jobsiite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement. a
Sire of owner/Agent/Lessee %nature of Contractor/Ucense Holder
STATE Of FLORIDA STATE OF FLORIDA
'COUNTYOF SAINT WCIE COUNTYOF SAINTLUCIE.
The foreoing instrum nt was acknowledged before me Theforgoing instrument was acknowledged before me
this dayof_^rg 20,41 by thisdayof 24. '.by
1AMES W(LAW JAMES W LAW
(N a :Dnacknowledging) (Name f erson acknowledging]
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personally Known ✓OR Produced Identification Personally Known ' y OR Produced Idenfrfication
Type of Identification Produced Type of identification Produced
,Commission No_ 9 .. /L Commission No. _/G�9�� 2 (5eag•
ANNE BRAWN W ANNE BRAWN WALMACH
MT 1DN*FF9846gg My COMMISSION#FFDM63
EJiP1RES ';
Revised 47/15/2814 c4m aDa a�es Fbhaw X1 ' 02° (icu� a9e,a+sa EXPIRES April 21,20zo
REVIEWS FRONT ZONING SUPERVISOR PLANS VEG--7A'nON SEAL TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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