HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Applicatio
Planning and Developrnentservices PR 18 2018
Building and Code Regulation Division
2300 Virginia A venue,Fort Pierce FL 34982 ing Department
Phone:(772)462-3553 Fax: (772)462-1578 Commercial ie County, FL
PERMITAPPI..ICATION FOR: Elechical El
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description-
PropertyTax ID##: 130k111-0001-000fe
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:
Additfonal work to be perrormed under this permit—check a app y:
FIHVAC Gas Tank OGas Piping _Shutters l.___l Windows/Doors
1_.lElectric Plumbing Sprinklers EJ Generator Roof
Total Sq.Ft of Construction: S . of First Floor:
E Cost of Construction:$ tG0- 0 d Utilities:nSewer F Septic Building Height:
)
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: James W Law
Address: 8000 S US#1 Shite 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_ 772-678-3347
E-Mail: Phone No_ 772-9714512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aor.com
from the Owner listed above) State or County License: ER0000122
if value of construction is$2SOO or more,a RECORDED Notice of Commencement is required.
6'd -8926-199-195 Lti0E9L93LLMVI ebb:60 9l L� adV
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
DESIGNEttf—ENGINEER: Not Applicable
MOkTr*A(3r:COMPANY: Not Applicable
Name: Name:
Address. Address:
city: State:— city.-
T1 P: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: r Not Applicable BONDING COMPANY: Not App
able
Name: Name-
Address: Address:
City: City:
Phone- Zip: Phone:
OWNER/
hone.-
OWNER/CONTRACTOR AFFIDW:Application ishereby made to,obtain a permitto 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 C= e dthe�;y structure
conflict no representation-that is granting a permitwill authorizethe perryfit hold rtobuil blect
wbichisinco tctmfthany# restrict
.applicable Horne Ownem Association rule4,bylaws ora covenants that may.r ct or probit it
structure.Please consult fvffli your Home Owners Assaclatihn and review your dead for any restrictions Which may apply_
in consideration of the granting of tils requested penni4i do heiaby agree that I will,in all respects,perform the work
in accordance with-the approved plans,lite Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exemptfrom undergoing a full concurrency re%e�vr.room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto another non-residential use
WARNING TO OWNER:Yourfalitureto Records Notice of Commencement may result in your paying twice for
improvements to your property-A Notice of Commencement must be recorded and posted on thejob!s1te
be= the first inspection.if you intend to obtain financing,consult with lender or an attorney before
cc)rn encin work or recordingyour Notice of Commencement
4T, afore oO—Cotw—nerl;Agent/Lessee Whature of Contractor/license Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTy 01: ST.LUCIE COUNTY OF ST-LUCIE
-rhe-fo-oinginstrtimen before me
,;ums acknowledgmed-belbre me Thefbriminglastrume twasacknowledged
WU
thLs��y Of je
0 70 -_-by
JAMES W LAW JAMIES,W LAW
[Name of person zdmaWWd9ing) �[Name of person'dIftaledging)
—4NNo(plogn
tarvPublrilc-State of Florida) Notary Public-State of Florida)
Personally Known OR Produced Identification Persona]IVI(iiown %I"" OR Produced Identification
Type of Identification Produced Type of Identification Prodluxied-
commmon No. JulietLaw Commission' No- C'�ejl— (Seal)
A%NOTARY pUSLI Jurfe Law
-'k1A'1:UFFLORj0A YPUBUC
Revised 07115/201.4 Cara GG04MS.. STATE
WbF FLORIPA
Expires 11/1 n7ff.
'VPJre811/13
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MRAVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW-
RECEIVED
FATE '
caMPLETED
Z-d ett:60 86 Ll, AV