HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number-
Building Permit Application' I W V 2 0 2017
Planning and Development Services
Building and Code Regulation Division BY........................
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical El
-PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description-.
Property Tax 10#: 341-4-501-1701-000/9 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 at each address
ETRLJCrION INFORMATION:
C�o s
AdOttlonillworktoug_pqrformed under this permit–check all that apply:
nHVAC F]Gas Tank F_]Gas Piping F ]Shutters Fl Windows/Doors
EElectric 0 Plumbing OSprinklers E-1 Generator 0–Roof
Total Sq.Ft of Construction: So. Ft.of First Floor:
.'S —
Cost of Construction:$ Utilities:5 Sewer Pseptic 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 an next page if different E-Mail: lawselecbicinc@aol.com
from the Owner listed above) State or County License:. ER0000122
if value of construction is$250D or more,a RECORDED Notice of Commencement is required.
S-d d60:t,0 Ll, Ll, AON
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name-
Address: Address:
City: State: City
Zip: Phone:Phone• Zip: Phone:
FEE SIMPLE TITLE HOLDER: k/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
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 County makes no representation that is granting a permit will authorize theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or.and p 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 of the 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 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 properly.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 aur Notice of Commencement
Si tore of Owner/Agent/Lessee g&ature of ContractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE.
7hefnraning instpwVMwas acknowledged before me Theforeoing insWiment was act nowledged before me
th'J ��'ay of gQ@ .i . 20,�'L by thl V�day of - 20/7. by
NAMES W LAW In JAMES W LAW
( e of person acknowledging} (Nn of person acknowledging)
kV_,_ J.J
(Signature of Notary Public-State of Florida) ( ignature of Notary Public-State of Florida
Personally Known ✓ OR Produced ldent"fication Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Iden't'ification Produced
Commission No. Commission No. � � (Seat)
ANNE SRO WALMACH
a EXPIRES N#FF984663 My COMMISSION 0 FF9g4663
Revised 07/25/2014 ^ Apn121 2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
BATE
COMPLETE
77 INITIALS
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