HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r YO/-0317
Dated c� /� �/ Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
i 2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT-LOCATION.-.
Address: 'i
Legal Description: f'
p rty 1301-111-0001-00015
ro a Tax ID#: Lot No.
Site Plan Name: i~ Block No.
roject Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK {. ; $
Replace meter center with a combo pack
CONSTRUCTION-INFORMATION: .
�Additional work to be performed under this permit—check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ boa �D Utilities.,n Sewer a Septic �:I Building Height:
OWNER/LESSEE: CONTRACTORS
Name Wynne Building Corp. Name: James W Law':
Address: 8000 S US#1 Suite 402 Company: Law'sIElectric', 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 on next page(if different E-Mail: lawselectricir c@aol.com
from the Owner listed above) State or County License:I 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:
II jam_
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: ✓Not-.applicable
• Name: Name: I
Address: Address: I
City: State: City: State:
T1 p: Phone: Zip: Phone:i'
FEE SIMPLE TITLE HOLDER: I/Not Applicable BONDING COMPANY: ;''' r/Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone- :,!'
dWNERJ CONTRACTOR AFFIDVIT:Application is 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 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 Amendm"e"nts-
The
i endments_
Th'e following building permit applications are exempt from undergoing a full concurrency revie%i-.r room additions;
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to anotherl.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
co,mmencing work or recording our Notice of Commencement.
i.
Sign re of Owner/Agent/Lessee Sig ure of Contractor/License Holder
A
STATE OF FLORIDA - STATE OF FLORIDA �,✓
COUNTY OF COUNTY OF
the forgoing instrurpeant was acknowledged-before me The forgoing instrumgnt was acknowledged before me
thi_-.&day of Legga'f 201 by thisZ�-day of, a'' 20 by
(Name of person acknowledging) (Name of person acknowledging)
( i atur of Notary Public-State of Florida) (Sihil-60b of Notary Public-,State of Florida)
Personally Known ✓OR Produced Ident' tionJtlW_I:8w Personally Known OR Produced Identification
Type of Identification Produced 6TfrR�P `pe of Identification Produced
I'�w..
c S STATE OF O Ission No_ D o Juliet Law
Commission No. Z. 73 o NOTARY P1lBU
• E, Expires 11/ 3/2020 STATE OF FLC�R A
Revised 07/15/20I4 I *E 9 . Expires 11!13[2 0
!REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION,: SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED d
DATE
:COMPLETED '
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