HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 8E ACCEPTED _.-
Date_ tL.t/�►Zl [�-�C7 r? Permit Number_-]
'111 ..; ;` � �
•• "� Building Permit Application JUN a 5 201?
Planning and DevelopmentSen ices
Building and Code Regulation Division P ER Vt i 1 T l E\C;
23Q1a>CrginlaAvenue,FbitPierceFL34982 Z St. Lucie
Phone_(772)462-1553 Fax:(772)462-1579 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROV€MENT LOCATION:-
Address-
Legal Description:
PropertyTaxlD#• 1301-1 !1-OOEti-00015 =?t: Lot No.
Site Plan Name: Block No-
Project Name:
Setbacks Front BacIC Right Side: Left Side:
DETAILED DESCRIPTION OF WORD:
Replace meter center with a combo pack
COPJSTRUCTION INFORMATION:
Additional work to be gpdarmed under tis permit—checic all thz appy:
HVAC Gas Tank ❑Gas Piping J Shutters Windows/Doors
9 5ectric Plumbing Sprinklers Generator D Roof
Total Sq.Ft of Construction: 5 .Ftt.of First FloFloorCost of Constriction:$ �jt�< 00 Utilities: Sewer u Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric,Inc.
City Fort St_Lucie State:FL Address: 218 Beach;Avenue
Zip Lode: 34952Fax: City: Port St.Lucie State: FL
Phone too. 772-878-5613 Zip Code: 34952 Fax: 772-878-3347
E-!wail: Phone No. 772 971-4512
Fili in fee simple Title Holder an next page(if different E-Mail: lawsetectricincgool.com
from the Owner listed above) State or County License: ER0000122
I f vaiUe of consitruction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name- Name:
Address: Address: `
City: State: City: State:
zip: Phone: Zip: Phone:
FEE SIMPLE TIT#.E HOLDER: _jZ,Not Applicable BONDING COMPANY: ,Not Applicable
Name: Name:
Address• Address-
City: City:
Zip: Phone: Tip: Phone.•
I certifythat no work or installation has commenced.prior to the issuance of a permit
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants tat may restrict or prohibit such
structure.Please consult with your Nome Owners Association and review your deed for any restrictions which may apply.
1n consideration of the granting of this requested pentnit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.L.ude County Amendments.
The following building permit applications are exempt from undergoing a full concurrencyreview:room additions,
accessory structures,swimming pools,fences,wails,signs,skaeen rooms and accessory uses to 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 jobsite
before the first inspection.If you intend to obtain f+nencing,consult with tender or an attomey before
commen in worts or recordin our Notice of Commencement.
Si tune of Owner/Agent/Lessee A&ature of Contractor/License Holder
STATE OF FLORIDA STASAINT LUCIE COUNTY TOFE OF ORIDA
�couNT�oFSAINT LUCIE.
Theforgoing irrstr�zmerst was ac4nowlsdged before me The forsoing in rgri#was acicnovyledged before me
20 2 `by thig-c daY of�1�'tbS�...�....�:_2Qia.by
-JAMES W LAW A JAMES W LAW
le person acknowledging). L �N of person acknowledging)-
�'`d w` CLe
(Signature of Notary Public-State of Florida) I gnature of Notary Public-State of Florida)
personally Known ✓ OR Produced Ident!F=tion Personally Known OR Produced Identgkration
Type of Identification Produced 'type of identMeation Produced
:Commission No. FF of3 Commission No. .��1` ' �v�� (Sea[)-
ANNEBRO WAL-MACHMYCO
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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