HomeMy WebLinkAboutBuilding Permit Application ALL APPUCA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services MAY 12 2017
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)452-1578 Commercial Residential X
PERMIT APPLICATION FOR: EleWcal
PROPOSED I NPROVEM ENT LOCATION:
Address:
Legal Description:
PropertyTaxll)#:- 3414501-1701-00019 Lot No
Site Plan Name: Block No.
Project0ame:
Setbacks Front Back:_Right Side- Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
ttrone orktobecertOrme d Underffis permit-check all Mat apply:
CONSTRUCTION
E-1H w r.MGasTank Das Piping FI_Shutters E]Windows/Doors
Electric Plumbing SprinklersGenerator Roof 11
Total Sq.Ft of Construction: Sq.Ft.of First Floor-
Cost of Construction: 0 c) Utilities-USewer Septic Building Height:
-6-W—NERAESSEE: CONTRACTOR:
NameCorp. ames W Law
IA ne Building�r- Name:
�yn
Address. 8000 S US#I 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. 772-1378-5513 271p Code: 34952 Fax: 772-878-3347
E-Mail- Phone No. 772-971-4612
Fill in fee simple'Title Holder on next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
If value of construction is$250D or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCnON LIEN LAW INFORMATION:
D1rSIGNER/EN GIN EER: V Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address: +
CvtT. State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TiTLE HOLDER: _/,Not Applicable BONDING COMPANY: •,&/_Not Applicable
Name: Mame:
Address Address:
City: Cly:
Zip: Phone: Zip: Phone:
i certify that no work or installation has commenced.prior to the issuance of a permit.
St Luce coont�makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with"applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your dome Owners Association and review your deed for any restrictions which may apply.
in consideration of-the granting of this requested permit,I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St:Inde 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 moms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Conunencetnent may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and poster)on the jobsite
before the first inspection,if you Intend to obtain financing,consult.with lender or an attorney before
commen F,work or recordinK vour Notice of Commencement.
Signa m of towner/Agent]Lessee Si tore W Contractorll.icense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTIF OF SAINT LUCIE COUNTY OF SAiNT WCIE-
Thefb 't�instrux lent was acknowledgedre me The forgoing i mentwas i�lcnowledged before me
th' ay of+l ' G 20 4by this day of 0 r�lbv
T•
-,tkMES W LAW JAMES W LAW
{ of person acknowledging) (Na person acknowledging}/, ,
( ignature of Notary Public- tate of Florida) (Signature of Notary Public-State of Florida j
Personally Known OR Produced Identsriration Personally Known Mfr _OR Produced identification
Type of Identification Produced Type of Identification Produced
Commission No.�' �c-b ,, Commission No.� �
ANNE BROWN ALMACH _•, �iS BROWN WALMACH
9 FF
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTIE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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