HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date:S9—L(,,ftQ /T d!J!' Permit Number: O
F IF,01
Building Permit Application JUN 19 2017
Planning and Development Services
Building and Code Regulation Division PERfAill-TING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-7553. Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSE€l INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 1304-111-0009-00010 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
rtiona wor to e e Orme un ert is permit—c heck a apply:
HVAC ID Gas Tank Gas Piping _Shutters Windows/Doors
Electric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ Z)8.ay Utilities Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S LIS#1 Suite 402 Company: Law's Electric,Inc.
City. Part 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
Fill in fee simple Trtle 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$2500 or more,a RECORDED Notice.of Commencement is required.
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SUPPI EMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: +/ Not Applicable MOR'T'GAGE COMPANY: Not Applicable
Name: Name:
Address: Address: `
City: State• City: State-
Zip: Phone- Zip: Phone:
FEE SIMPLE TITLE HOLDER: �[,Not Applicable BONDING COMPANY: , Not Applicable
Name- Name:
Address: Address:
City: ctty-
Zip: Phone- Zip: Phone-
I certify that 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 holder to build the subject structure
which is in contlict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
stricture.Please consult with your Home 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,performthe work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The Following building permit applications are m emptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,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
commencmg work or recording our Notice of Comm cement,
sign re of Owner/Agent/Lessee Si re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUN7y OF SAINT LUCIE COUNTY OF SAINT LUCIE...
The fargoSDg in
was acknowledged before me The for¢g!pg instrufnq was aclmawledg efore me
this ay of„ t�tL4.� _20 zy—by this day of 20 by
JAMES W LAW JAMES W LAW
(Nam person acknowledging) (Na of person acknowledging)•
YU- hJ�
(Signature of Notary Public-;State of Florida) (Signature of Notary Public State of Florida)
Personally Known Y OR Produced IdentSfication Personally Known_�OR Produced lderitiCcation
Type of Identification P_m.duced Type of Identification Produced
mi n No.f ��✓� (Seal) �'
ANN CCBBooF:mmOrrWrN NofAi�tACH G 63 (seal)
Com ssio •'= MY C MMU N rF FF a
E IBES Ap6121,2020
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Revised U7/]5/2034 MY COMMISSION#FFOWS3
=, EXPIRES April 21,,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALS
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