HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dater �'� Permit Number:
RECEIVED
Building Permit Application MAY 1 7 2017
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553. Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical a
PROPOSED INPROVEMENT LOCATION:
Address: 7 6
Legal Description:
Property Tax ID#: 13016111-0001-0001,6 k Lot 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: Y
CONSTRUCTION INFORMATION:
Additional work toe nertormed under tis permit-check all apply:
aHVAC 13GasTank Das Piping _Shutters E]Windows/Doors
aElectric Plumbing Sprinklers E Generator a Roof
Total Sq.Ft of Construction: Sq-Ft.of First Floor:
Cost of Construction:$ d Utilities:.Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: James W Law
Address: $000 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:-LL-
Phone
tate: FLPhone No. 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: lawselectricinc@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.
C-d -89Z6-699-699 LtCC8L8ZLLMVl eLZ:80 Ll, L6 Aen
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER. V Not Applicable MORTGAGE COMPANY: J Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _j/ Not Applicable BONDING COMPANY: _; ,Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no worst or installation has commenced.prior to the Issuance of a permit.
St Lucie g3=Ly makes no representation that is granting a permit will authorizethe permit holderto build the subject structure
which is in conflict with any applicable Home OwnersAssocration rules,bylaws or and covenants that Wray restrict or prohibit such
structure.Please consult v&%your Home Owners Association and review your deed far any restrictions which may apply.
in consideration of the granting of this requested permit:,I do hereby agreethat I will,in all respells,perform the work
in accordance with the approved plans,the Florida Building Codes and SL Lucie County Amendments.
The following building permit applications are exempt from undergoing a foil concurrency review:room additiom
accessory structures,swimming pools,fences,walls,signs,screen roams and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencemertt may result in your payingtLwice 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
commencing work or recording our Notice of Commencement.
Si ture of Owner)Agent,/Lessee Ariature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNTYOF SAINT LUCIE COUNTY OF SAINTLUCIE_. .
Theforgoing instrument N ras o6nowledged before me The forizoing instruwpa.was aclmoWledged before me
this a ` day of ` . 20,)7,by th day of by
-JAMES W LAW A JAMES W LAW
( e of person acknowledging) IN n
of person admowledging y
&A, �
(Signature of Notary Public-State of Florida} ( ignature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known *! OR Produced Identifiiation
Type of Identification Produced Type of Identification Produced
Commission No. commission No. /�' �, (Seal)
. r _ ANNE 8RO WALMACH
EXPIRESApd27 63 MYCOMMI33fON#FF�84665
EXPiRes
Revised 07115/2014 LNff&'o F�aleeN April 21,2020
_ a=,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMA1S
t,•d -99Z 6-699-699 LV££9Z2ZLLMV] eLZ:90 L 6 L 6 `LeW