HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: I Permit Number-12m& _L__1
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Building Permit Application JUN 8 2017
Planning and Developm ent Services
But7ding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 13Y.-
Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: Bectricaf
PROPOSED INPROVEMENT LOCATION:
.Address:
Legal Description:
Property Tax ID#: 3427-111-0002-00015 Lot No_
SitePlan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional Work tobe narto rmed under this permit—checK all apply: L
0-HVAC 0 Gas Tank E]Gas Piping Shutters F�Windows/Doors
EjElectrfc E]Plumbing Flprinklers; []Generator EIRoof
Total Sq.Ft of Construction: S Ft. f First Floor:
Cost of Construction:$ 0,-0 C) Utilities:]Sewer E]Septic Building Height
-OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name.• James W Law
Address: 8000 S US#I Suite 402 Company: Laws Electric, Inc.
aty: Port St Lucie State: F.L. Address: 218 Beach Avenue
Zip Code: 34952 Fax City: Port St.Lucie State- FL
Phone No. 772-878-5513 Zip Code:— 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Tittle Holder on next page if different E-Mail: lawselectricinc@aol.com
from the Ownek listed above) State or County License: ER0000122
I Va Ile of construction is$2500 or more,a RECORDED Notice of Commenciment is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMA-nON:
DES1GNERIENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address- Address:
City: State: City: State:
Trp: Phone- Zip: Phone:
FEE SIMPLE TITLE HOLDER: s/Not Applicable BONDING COMPANY: Not Applicable
Name: Narne:
Address: Address:
City: Cly.
Zip: Phone.- Zip., Phone:
I certify that no work or installation has commenced,priorto the Issuance of a permit.
St Lucie Counrrttyy makes na representation that is granting a permit will a rize the permit holder to build the subject structure
which is in oosrfiict with any applscabie Home Owners Assaaatron rules,bylaws ar and covenants drat may restrict or prohibit such
structure.Please consult with your Home Owners Assodatian and revieuvyour deed for any restrictions which may apply.
in consideration of the granting of this requested permit,I do hereby agree that l will,in ail respects,perforin the work
in accordance with the approved plans,the Florida Building Codes and St Lurie County Amendments.
The following building permit applications are ammpt from,undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessary 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 financing,constdt with lender or an attorney before
cammenc work or recordin our Nojof CD
ommencemen
Sign re of Owner/Agent/Lessee Si tune of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUN7'If OF SAINT LUCIE COUNTY OF SAINT LUCIE.
Thefargol g instwas acknowledged before me The!,mm ng instrWnpA was acknowledged before me
ft ay of chi .rtt ,�• `20 Eby this t- -d of,;T�.��a� ,204;&by
.,LAMES W LAW JAMES W LAW
(Na person acknowledging) (N of person acknowledging)*
(Signature of Notary Public-State of Florida) (Signature of Notary Public-5ta of Florida)
Personally Known OR Produced Identification Personally Known - OR Produced Identification
Type of Identification►Produced Type of Identification Produced
ANN ROWN W ACH
Co►nmission No_„G, S �/�' lseal} -: MY c asssro °' (Seal)
PIRES April 21,2020
• 1 � 1 Fiat#sNab erwu.00m
MY COMMISSION a F
Revised 07/15/201 EXPIRES April 21F9848S3
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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