HomeMy WebLinkAboutBuilding Permit Application ALL APP CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number. P107 V0 0
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Building Permit Application JUL 2 12017
Planning and DevelopmentSen►ices
Building and Code Reguladan Division Flul;lic uvortcy
2300 Virginia Avenue,Fort Pierce FL 34982 St- Lucie County, FL
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PER�VIIT APPLICATION FOR: IDectrical a
PROPOSED INPROVEMENT LOCATION.--
Address: t_.5'06
Legal Descripti.)n:
PropertyTax ID#: 1301-111-0001-00015 =?L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
F
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
COPdSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit—check all appy:
HVAC i JI Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
Vr Electric Plumbing Sprinklers a Generator D Roof
Total Sq.Ft of Construction: Sq-Ft.of First Floor:
Cost of-orstruction:$ Jif G'�= �O Utilities Sewer Septic -Building Height:
OWNERf LESSEE: CONTRACTOR: .
Name Wynne Building Corp. Name: .tames W Law
Address: 8009 S US#1 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: 772-878-33 7
E-Mail: Phone No_ 772-9714-512
Fill-in feesimple Title Holder on next page(if different E-Mail: lawselectiietnc@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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER-. V Not Applicable MORTGAGE COMPANY: J Not Applicable
Name: Name:
Address: Address:
City: State: 'City:
State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: L/ Not Applicable BONDING COMPANY: ,/—Not Appl 1 ca bfe
Name: Name:
Address: Address:
Cftr- City:
-Zip: Phone: Zip: Phone:
I cerftthat no work or installation has commenced priorto the issuance of a permit
1" coun lgit will authorize the permit holder to build the subject structure
S Lu inco ict with anyapplicable Home Owners Association an ruliP4,bylaws or and covenants that may
makes no representation that is granting a
which XM .restrict or prohibit such
structure.Please consult With your Home Owners Association and review your deed for any restrictions Which may apply.
in consideration of the granting Gf this requested perrnk 1.do hereby agreethat I will,in all respects,perform the work
in accordance With the approved plans,the Florida Building Codes and St.Lucie County Amendments.
Thei6ilowing building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen moms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Coni nancement may result In your paying uvke for
improvements en toyour property.A Notice of Commencement must be recorded and posted on the jobsite
e first inspection.if you intend to obtain financing,consult with lender or an attorney before
commen in work or recordin o ur Notice of Commencement
3r0ftu re of owner/Agent/Lessee attire of Contractor/1.1cense Holder
.
,STATE OF FLORIDA STATE OF FLORIDA
CDUNWOF SAINT LUCIE COUNTY OF SAINT LUCIE.,
, .
The forgoing instrument was acknowledged before me Theforgoing instru ent -acknowledged before me
ay a thlsm��Iay Of 20/7.�by
this--&Zdf 20,�Z-,by
(y,
-JA-MES WLAW JAMES W LAW
A-
e of person acknowledging IN of person acknowledifingy
(Signature of Notary Public-State of Florida) gnature of Notary Public-State of Florida)
". naflyKnown--"' OR Produced Iderriffication, Personally Known ✓ OR Produced IdentMcation
:IrVpe of Identificatio
Type of Identification Produced
Commission No. Commission No. (Seat)'
ANNE 8-R0
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Revised 0711512014 (40?)M4153 020
EXPIRESeaaa Aprd 21.2020
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