HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPT12.
Date: _ Tl.( , �lS Permit N n.11.r a••.,,
� P
;` g'l� JUN / 8 2017
Building Permit Applicat
Planning and Development Services BY:
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34982
Phone:(772)462-3.553 Fax:(772)462-1578 Commercial Residential X
PERMITAPPUCATION FOR: Electrical
PROPOSED INPROVEM NT LOC [ON:
Address:
Legal Description-
PropertyTax lD 4#- 3427-111-0002-000/S 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
CONSTRUCTION INFORMATION:
Additronal work toe e orme under tispermit—checka appy:
HVAC ElGasTank ❑Gas Piping LJ_Shutters a'` Windows/Doors
Electric El Plumbing Sprinklers E Generator 12 Roof
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$_,-J�QCJ, e :Lt.� Utilities _1 Sewer aSeptic 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: Port St.Lucie State: FL 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
FII 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
1!value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
9'd -99Z6-699-699 Lve£eL8ZLLMV-1 aL£:06 L6 60 unf
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: V Not Applicable BONDING COMPANY: ,Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or instalbdon has eommenced.prior to the issuance of a permit
St Lucie County makes no representation that is granting a permitwill authorize the permit holler to build the subject structure
which is in conflict with any applicable home Owners Assodation rules,bylaws or and covenants that may,restrict or prohibit such
structure.Please consult wdh your Horne Owners Association and review your deed for any restrictions which may apply.
in consideration ofthe granting of this requested permit 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 Lucie 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:Yourfailure 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 tender or an attorney before
commencing work or recording
your Notice of Commencement
Si Lure of owner/Agent/lessee O&ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTVOF SAINT WCIE COUNTY OF SAINT WCIE
Theforeoing instrurneptwas acknowledged before me Theforgo ?+ acknowledged before me
this slay of =ie 20 �- ,day°f 424 ,=by
jLkIVIES W LAW JAMES W LAW
((jeperson acknowledging) (N of person acknowledging)'
/^a kv,- �j C�L"J�'
(Signetwe of Notary Public-State of Florida} ( ignature of Notary Public-State of Florida}
Personally Known ✓ OR Produced Identification Personally Known s-� OR Produced Identlffcation
Type of identification Produced Type of Identification Produced
Commission No. Commission No
ANNE BRO WALMACH
N 6 FFBW63
Revised 07115/2, 014 • ••
EXPIRES Aprll21 2020 ;�, MY COMMISSION#FFGM63
war)�seo�es riortae �?°",. EXPIRESApiil21.2020
.aan
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLM
1NffIAIS -
9'd -29ZL-1,99-699 Lv££eL8ZLLM I eL£:06 L6 60 unf