HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7 Permit Number:
Building JUN li Permit Application
Planning and Development Services P EES Ifi ITTI PSG
Building and Cade Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982 -
Phone:(772)462-1553 Fax:(772)462-1578 .Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: d 4t- , / / q �
Legal Description:
PropertyTax lD#: 13DA5411-0001-0001,0 Lot No-
Site Plan Name: Block No.
Project Name:
Setbacks Front Sack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
rtrona wor to e e orme under this permit—Efteck all, apply:
HVAC 0 Gas Tank ❑Gas Piping _Shutters ElWindows/Doors
L'_lElectric EDPlumbing .Sprinklers FIGenerator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ .0 utilities: Sewer Septic Building Height:
OWNERf 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: 216 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 Title Holder on next page(if different E-Mail: lawselectdcinc@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 rs required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: __V/ Not Applicable
Name: Name:
Address: Address.
City_ State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _L/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City-
Zip: Phone: Zip: Phone:
I eertifythat no work orinstallation has commenced.priortothe Issuance of a permit
St Lf v makes no representation Utat is:=5 :nranting a permit will authorize file permit holder to Fsuild the subject sttucwre
�n cidt with ai►�r applipble Home Owers Assoaation rules,bylaws or and covenants that may restrict or profu'bit such
re.Plase consult wrth yourHoene OwnerAssociation and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit,)do herebjragree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
Thefollowing building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,waft signs,screen 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 financing,consult with lender or an attorney before
commending work/dor recordingour Notice of Commencement.
j
Si Less
reofOwner/Agent/ ee ureofContractorll.icenseHolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTV-OF SAINT LUCIE COUNTY OF SAINT LUCIE...
Thefomeoing inset meet was acknowledged before me Thefo Qing lnstrumautwps acknowledged before me
thi day of :z:r awl r.. 20 by
.,DAMES W LAW JAMES W LAW
Meofs_
person acknowledging) (N ofpersonadmowledging)'
Vv
(Signature of Notary Public-State of 19orida) gnature of Notary Public-State of Florida)
P.ersonaliy Known ✓ OR Produced Identification Personally Known ,--- OR Produced Identification
Type of Identification Pro i4cce/d Type of ldentifrcation Produced
Commission No. F Fk-511a.(13 Commission No._./G ���, �s )•
:�v!°=' ANNE BRO WALMACki = •;: "
N#FF984863 •'? My COMMISSION#FFa84663
.4! r• EXPIRES April 27 2Q20
Revised 07115/2014 1407)p o,a9 EXPIRES Agri}21.2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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