HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 6-26-17 ALL APPILL
ICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Number:
RECEIV7D JUN N 26 2017
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553. Fax:(772)462-1578 Commercial Residential X
PERM IT-APPLI CATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: 6P
Legal Description:
Property Tax ID#: 130j6111-0001-0001.0 k 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:
Additional work to be nedid-r—m—e&—u-n-der this permit–check all apply:
EjHVAC 11 Gas Tank Gas PipingShuers F]Windows/Doors
RElectric F1 Plumbing E]Sprinklers F] ttGenerator 011oof
Total Sq.Ft of Construction: So.Ft.of First(
irst Floor:
Cost of Construction:$- s�,5Z&, 06 Utilities:F Sewer OSeptic, Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I 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
Fill 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
if value of construction is$2500 or more,a RECORDED Notice of Commencement b required.
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SUPPLEMENTAL CONMUCnON LIEN LAW INFORMATION:
DESIGNERIENGINEER: V Not Applicable- MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: - State: City.- State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: k/ Not Applicable BONDING COMPANY: _ tqot Applicable
Name.- Name:
Address: Address:
City: City:
zip-, Zip-, Phone:
I certify that no work or Installation has commenced.prior to the Issuance of apermit
St Lucie is 1,,makes no representation that Is granting a permit will authorize the permit holder to build the subject structure
,nj
incon ict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.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,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 rooms and accessory usesto another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying t%vice 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
commenvinn work or recordi your Notice of Commencement.
Si tore of Owner/Agent/'Lessee $&ature of ContractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA'
COUNTY OF SAINT waE COUNTY OF SAINT LuaE
TheibrmlnginsUumentvvpsacknowledged before me Thefbo g Instrument was acknowledged before me
tNUgjP_day 0f ZTELVA e— 202�L-by ay of,•- 20,a--by
-16MES W LAW JAMES W LAW
Ir Leof person acknowledging (N of person arlmawledging),
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_ �
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known t- ' ORProduced ideniffication, Personally Known $-- OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No, Commission No. /ci , (Sea,Q*
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGErAMON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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