HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO-) MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I �1X�-�C 0 awl h Permit Number. V a`— 616 G
x• rt i =__ _ I�
Building Permit Application OEC 2 8 2
Planning and Development Services
Building and Coc'e Regulation Division ................
2300 Virginia Av.?nue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical a
PROPOSED IMPROVEMENT LOCATION: _
Address:
Legal Description:
Property Tax ID#: 130k111-0001-0001 d 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
CONSTRUCTIC N INFORMATION:
rtionalwor ck to be performedunder this permit—check a appy:
HVAC L_1 Gas Tank F]Gas Piping _Shutters a Windows/Doors
Electric ❑ Plumbing Sprinklers FIGenerator E] Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
E Cost of Constructic n:$ -5 O G Utilities: Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 3000 S US#1 Suite 402 Company: Law's Electric, Inc.
City: Port St. _ucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St. Lucie State: FL
j Phone No. 772-8713-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page( if different E-Mail: lawselectricinc@aol.com
from the Owner lisl ed above) State or County License: ER000012-2
If value of constructicn is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: :/ 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: VNot 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 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 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 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
commeq�ing work or recording our Notice of Commencement.
Sigpi6ture of Owner/Agent/Lessee 9gnature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTX OF SAINT LUCIE COUNTY OF SAINT LUCIE
The foreoing instR,--nt was acknowledged before me The foreoing instn rnent was acknowledged before me
thisy95—day of_ 20 Eby thi day of Ofd_ by
_JAMES W LAW JAMES W LAW
(N� e of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida) ( ignature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known ',— OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF Commission No. (Seal)
Y
,4" "` ANNE BRO WALMACH
N#FF984663 My COMMISSION#FF984663
EXPIRES
Revised 07/15/2014 w07)39 ots3 Aprile. 20 :'?comq.;�d EXPIRES April 21,2020
%Walloia c
-- 00flGallot"Si fV,Ce.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS