HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �1
Date: Q. � a-,*1,- Permit Number:__//elV J -
Building Permit Application' MAY 2 2 2011
Planning and BevelopmentServices
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
PROPOSED IMPROVEMENT LOCATION:
Address: r
Legal Description:
Property Tax ID#: 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONST UCTION INFORMATION:
AddMonal work toe e orme under tispermit—checka appy:
HVAC 13 GasTank 0Gas Piping _Shutters Windows/Doors
OElectric El Plumbing Sprinklers E]Generator Roof
Total Sq.Ft of Construction: Ft.of First Floor:
Cost of Construction: df—) Utilities: Sewer oSeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#9 Suite 402 Company: Law's Electric,Inc.
City: Port St.Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34,952 Fax: City: Port St.Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax. 772-878-3347
E-Mail: Phone No. 772-971-4592
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$2509 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ✓Not Applicable MORTGAGE COMPANY: ✓ 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:
City7jp: s
Phone: Zip:. Phone:
P=
I certify that no work or installation has commented.prior to the Issuance of a permit
St.LudeCoun makes no representation that is granting a permit will authorize the perrrtit holder to build the subject structure
which Is in conflict with any applicable Home Owners Association rules,bylaws or al covenants that may restrict or prohibit such
structure.Please consult wtls your Home Owners Association and review your deed for any restrictions which may apply.
inconsideration 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.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,waits,sib,screen rooms and accessory uses to another non-residentlal 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 jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
eommencln work or recordin our Notice of Commencement. o
s re of owner/Agent/Lm
mature of Contractor/License Holder
STATEFLORIDA STATE OF SAINT LLJCIE COUNTY OFSAINT LUCIE.
-COLINTV OF FLORIDA
ThefotP Ing instrum nt was acknowledged before me Thefa—ping instrument was acknowledged before me
th ay of 2QZ-by this. day.of Z�" by
.,LAMES W LAW JAMES W LAW
(N a of person acknowledging) (Name erson acknowledging)'
Y V
(signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known `f OR Produced Identification Personally Known OR Produced identification
Type of Identification Pro_duced' Type of identification Produced
:commission No. 9 -• L Commission
ANNE BROWNW LMACH 4 .''s ANNE BROWN WALMA H
8ION#FF984663 MY COMMISSION#FF984683
Revised 07115/2014 X40 390-0153 E FFWIdNN April 21,2020 EXPIRES April 21,2020
4Q7 398-0f 63
REVIEWS FRONT - ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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