HomeMy WebLinkAboutBuilding Permit Application i ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BEACCEPTEDO''7 Date: permit Number: ���~ i ` r Building Permit Application � Planning and Development Services 8vildincg and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 - Phone:(772)45Z 1553 Fax:(772)4621578 Commercial ReSide'ntialj X i PERMIT APPLICATION FOR: Electrical PROPOSED IINPROVEMENT LOCATION:- Address: ' Legal DescriptiDn. i '130'1-111--0001-00015 . :1 L. � Property Tax II]#• f Lot No. Site Plan Nam- Block No_ Project Dame: Setbacks Front Back Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack _ - 9 COP35TRUCTION iNFORMATiON: I Additional work to beorme un ert is permt—check a apply: HVAC Gas Ping -_ShueGas Tank rs windows/Doors Electric L_J Plumbing Sprinklers Generator Lit Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of ConstrLrtion:$ _ . � © Utilities:11 Sewer Septic "Building Height: I OIJ�+N ER,/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name- .tames W Law � Address: 800.0 S US#1 Suite 402' Company: Laws Electric,Inc. Com. Port St'Lucie State_:FL Address: 218 Beach Avenue Zip Code: 34852 Fax: City; Port St Lucie State: FL Phone No. Zip Zip Code: 34.952', Fax: 772-878-3347 E-Mail: Phone No. 772-971-4511 j Fill in fee simple Title Halder on next gage(if different E-Mail: lawsetectricinc@aol.com from the owner listed above) State or County License: ER0000122 If value of construdiDn is$2500 or more,a RECORDED Notice of Commencement is required. f) y d -8826-699-b"98 i Lt081.8ZLLIL I eLZ:80 L6 LG 1n(' i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION. j DESIGNER/ENGINEER: V Not Applicable MORTGAGE 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.. may: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced.prior to the issuance of a permit St.Luse County makes no representation that is granting a permit will authorize the plei mit holder to build the subject structure which is in conflict with any applicable Horne Owners Assocration rules,bylaws or and covenants that may restrict or prohibit such structure.Please consultwrth your Home Owners Association and review your deed tor'any restrictions which may apply. in consideration ofthe granting ofthis requested permit,I do hereby agree that 1 will,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St Lude County;Amendments. The foilowing building permit applications are exemptfrom undergoing a full concurrency review-room!additionsy accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory!uses to another non-residential use WARNING TO OWNER:Yourfailure to Record a Notice of Commencement may resuit 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 withi'lender or an attorney before commencing work or recordigg your Notice of Commencement. I; . I Signa re of Owner/Agent/Lessee Sig re of Contracmr/License Holder STATE OF FLORIDA STATE OF FLORIDA -COUI1iWOF . SAINT WCIE COUNW OF SAINT LUCIE... I' Theforgoing in ern s acknowledged before me Theforuoing in ern R*nowledged before me thin t��day of 20 4b7 this"�/.� y of 2a .Y JAMES W LAW JAMES W LAW . (Na of person acknowledging) (Nam person adurowledging)' o [AiL a Gum ( rgnature of Notary Public- tate of Florida) (Signature of Notary Public-State of Florida) ' I Personally Known OR Produced Identification Personally Known _OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No.&5?,q&-,3 Commission No. _ 1 ANNE BROWN ALMACH :M ANNE BROWN WALMACH ' EXPIRES 63 EMPIRES April 29.2020 t4o?jssa"4tsa APH127,2020 Revised 07115/2014 t4ar'3$ao,ss ,, F �Be+vi�eaom REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, ' SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW 'REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Z'd -8926-699-699 LVoe8L8ZLLmveLZ:80 LL L6 Inr i