HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTtu
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Permit NLjmber--
Building Permit Applicata o' n
Planning and Development Sentices
Building and Code Regulation Division
2306,Virginia Avenue,Fort Pierce FL 34982
Phone- (772)462-1553 Fax: (772)462-1579 Commercial Res.i4ential X
PERMIT AP??ICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:-
Address:.
Legal Description:
Properbi Tax ID 1301-111-0001-00015 1 Lot No-
Site Plan Name: 1 Block No-
Project:Name:
Setbacl.-.s Front Back; Right Side: Left Sider
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCT-ION INFORMATION:
itionaii, r tobegerton-ned under this permit—check all that appir-
LHVAC I Gas Tank FGas Piping shutters Vvi I ndowS, /Doors
RE'lectric Q.Plumbing OSprinklers U Generator I F]Relof
Total:Sq-Ft of Construction: Sq_PL of First Floor-:,
Cost of Canstr,_-ction:$ 0-00 Utilities:Osewer Septic Building Height:
01�A:�NERj/LIESSEE: CONTRACTOR:1
rNarre Wynne Building Corp. Name: J2MeS VV Law.
*-'uite 402 LaWs lbectTictjnc-
Address- 8010 S US#I Company:
City- Port St. Lucie State: FL Address- 218 Beach A46hue
Zip --ode: 34952 Fax: City: Port St L Lude FL
State:
34952- 1772-878-3347
Phone No 772-878-5513 Zip Code: Falx:i
E-Af-aik Phone No. 772-97li-4512 ' I
Fill in fee simple Title Holder on next page(if different E-Mail: lawsellOtctrici � lcom
rkcp—aol.
from the Owner listed above) State or County ic'e'nse: iIER0000122
! if value of cons.Tuctlan is$2500 or more,a RECORDED Notice of Commencement is required.
1, 01- Ll, 61, 090
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SUPPLEMENTAL CONSTRUCTION LIE14 LAW INFORMATION: (�
DESIGNERJI NGIIINEER: ____fttAppiicable MORTGAGE COMPANY: 4 AIQtApp}icabfe
Fume- Name:
Address: Address: li I
City: State: City_ I! I State:
Zip: Phone: Tp: I! Phone: I
! PEE.SIMPLE TITLE HOLDER: V Not Appiicablie BONDING COMPANY; i Not Applicable
Name: . - Name:
f Address: Address: II �
City: City: Il i, I
Tp: Phone: Zip: II Phorie: i
OWNER/CON'TRACFORAFFIDVrr-Appiication.ishereby madetoobtain a perktto dotheworkand in as indicated
I certify that no work or installation has coanmenced priorto the issuance of a permit'
SL Ltacie Coun�tyy makes no representation that is granting a permit will atrthorizethe II ermit Bolder to ln,itd ttce subject structure
w1�1ch is 3n coriflictwith any applicable dome Owners Assoccatton rotes,bylaws or acct;covenants that may restrict or pmt�ibit such
structure.Please consult eivrth your Home Owners Assoraatian and.reviewyour deed for any restrictidns which.may apply.
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In consideration ofthe granting ofthls requested permia;,t do Iaereby agree that 1 will��in al[respects,�perfoxm the work
in accordance with the appravetl lolai:s,the Florida 8uiiding Codes and St_lanae Coun Itjy Ametrdment
The follovying building pasrtt►it applications are exemptfrom undergoing a flail concurrency review:room additions,
j accessM.structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anotl�er non-residential use
I
WARNING TO OWNER:Your failurreto Record a Notice of_Cornmencemlrt1emay result in.your paying twice for
improvements to your property.A Notice of Commencement must be recorded ands posted on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing wont or recordingyour Notice of Commencerngmt
Sipfature,of Ownerl Agent)lessee gnature of contractor/License H iaider
STATE OF FLORIDA STA'T'E 0F FLt2Ri�DA i`; !
COUNTY OF ST. LUCIE CQUI1i'3'Y t}F ST.LUCIE.
The forgoing instrurnent was acknowledggd before me The forgoing instrument*as acknowledged before me
this/2 day of� G'- .24_j?_.7_by this Z,-'day of ! ( 20 toy
JAMES W LAW JAMES,W LAW I
l (Marne of person adcmvWL,*dging) {Name of person*itM*Iedging j
ar
(Sgnature of Itiotary Public State of Florida} (Signature of Notary PubTec=State of Florida)
PersonallyKnown ► OR Produced Identlftcation Personally Known "✓ .-OR Produced tdentrfication
Type of Identification Produced Type of IderMfiicati6n Prodi Qed I
Commission No. bGa3 (SeaIJ Cosimissin, Wo- (Seal)
I ' ANNE BRAWN WAl.MACH " ANNiE!BROWN WALMACH
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1407? 8801ST FIWWNap .corn MI, 53FNark3.Mo�ryEiars�.�+
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIOk S3,ATUR7LE MANGROVE'
CO�UNER REVIEVI>*
REVIEW REVIEW REVIEW j ItEVll=lhf REVIEW
j DATE
RECEIVED E !
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COMPLETED II
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