HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BEACCEPTED
Date: &,gfg- OZ' /7
Permit Number.
RECEIVED JUN 26 2017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:---
Legal Description:
Property Tax ID 4: 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:
AddMonalworRtobewertorrned under this permit--check all t=a.n-n,-iv,--
RHVAC UGas Tank [:]Gas Piping Shutters Windows/Doors
Electric Q Plumbing ESprinklers El Generator F]Roof
Total Sq.Ft of Construction: Sq_Ft.of First Floor-
Cost of Construction:$ Utilities:0Sewer FSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402 Company. Law's FJectdc, Inc.
City: Port St.Lucie State: FL Address: 218 Beach Avenue
Zip Code: -34962Fax Port St.Lucie
City: State: FL
Phone No. 772-87"513 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- lawselectricinc@aol-corn
from the owner listed above) State or County License: ER4000122
if value of construction is$ZSCO or more,a RECORDED Notice of Commencement i�required-
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGINEER: s/' Not Applicable MORTGAGE COMPANY
Dame- Name- -,s./ Not Applicable
Address: Address:
City State: City: State:
Zip Phone: Zip- Phone:
FEE SIMPLE TITLE HOLDER: �/ Not Applicable BONDING COMPANY: ,Not Applicable
Name: Mame:
—
Address: Address-
City: City.
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior-to the issuance of a permit.
St.Lucie Gaup��yy makes no representation that is granting a permitwill authorize the permit holder to buildthe subject structure
which is in corsflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult wk1i your Horne Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit,I do hereby agree that i vall,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 oremptfrom 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
commen!oa work or recording our Notice of Commencement
��
Sign re of Ownerl Agent, Lessee Sosture of Contractor/Ucense Holder
STATE OF FLORIDA STATE.OF FLORIDA
COUNTY-OF SAINT WCIE COUNTY OF SAINT WCIE.
Thefargojvg instEg=rwt was acknowledged before me The forgo g instrc�rnara was acknowledged before me
tit' day of d . 20C-by th€s,,�day of.=f&d ;r .204&-by
,,DAMES W LAW JAMES W LAW
(Na person acknowledging) ( of person acknowledging)'
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personalty Known� ,OR Produced lderiftcation Personally Known�Pf" OR Produced identi"fitaVon
Type of Identification Produced Type of Identification Produced
No. (Seal) +�e'n ANN RQw�v i"n
Commission `aA+CH
1+,1Y C FF -��------ Seal
w E iRES AW 21,2020
i 7 ,t FbptlsN avip
Revised 07115/2014 07JX$l2t3I ' MY COMM
1SS1014�FFS84663
%., EXPIRES April 21.2020 .
'REVIEWS FRONT ZONING SUPERYISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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