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HomeMy WebLinkAboutBuilding Permit Application ALLAPP . BLE INFO MUST'BE COMPLETED FOR APPLICATION TO BE ACCEPTED /� Date: 7' Permit Number: �1©!' pA3 CEjVEL Building Permit Application SEP I - 2017 Planning and Devefopment5ervices Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR:' Electrical a PROPOSED (NPROVEMENT LOCATION.- Address: OCATION:Address: - Legal Description: Property Tax ID#: 1301-111-0001-00015 ?(: 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: Additionalworktobeperformed under tis permit"Check a appy: EjHVAC Gas Tank F_]Gas Piping _Shutters 0 Windows/Doors aElectric 0 Plumbing O Sprinklers Q Generator Roof Total Sq_Ft of Construction: 5 Ft.of First Floor. Cost of Construction:$_/ /� d. (U f� Utilities:CnSewer Septic Building Height: OWNERAESSEE: . CONTRACTOR: Name Wynne Building Corp_ Name: James W Law Address: 800D S US#1 Suite 4D2 Company: Law's Electric, Inc. City: Port St Lucie State: FIL 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 Halder on next page(if different E-Mail: lawselectricinc@aol.com from the Owner fisted above) State or County License: ER0000122 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. L'd -89ZL-L99-L99 LV££8L8ZLLMV1 d60:ir0 LL LO deS SUPPLEMENTAL CONSTRUCTION LIEN LAbtl INFORMATION: DESIGNERJENGINEER. Not Applicable MORTGAGE COMPANY: r-~�IVat.Applicable 1'tlame: _ e Address: Address: City. State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable- BONDING COMPANY: v`Not Applicable Name: Name: Address: Address: City: City. Zip: Phone: Zip: Phone: OWNER/CONTRACI7011 AFFIDVIT:Application its hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit St Lucie Court,_makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such structure.Please consult with your Horse Owners Association and review your deed for any restrictions which may apply. Irl consideration of the granting of this requested permit;I do hereby agree that I will,in all respects,perforin 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 re%iew:room additions," accessory structures,swimming pools,fences,waits,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 commencing work or recording our Notice of Commencement. Sign re of Owner/Agent/Lessee Sig me of Contractor/i.icense Holder STATE OF FLORIDA STATE OF FLORIDA ItOUNTY OF COUNTY OF i Theforeoing instrurr1ep utas agknowledge_d before meTheforgoing instrurr�e twas acknowledged before me thisa ,!.tday of ,ZOf by thi -day of: �Oby {Name of person acknowledging} (Name of person acknowledging) ( atu of Notary Pubiic State of Florida) 4CSiatu of Notary Public-State of Florida} Personally Known ✓OR Produced identification Personally Known i•- OR Produced identification Type of Identification Produced �� Type of Identification Produced Commission Nn. Cs • �. STATE OG � issionNo. 6_&6 o ll NOTARYPUBiI E ices 111 3f2020 STATE OF FLC� A Revised 0711512014 Expires '11113M 0 REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVE-D DATE COMPI_ETEIa Zd -8926-699-499 LbC09Z9ZLLMVJ 4604,0 LL Lo daS