HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date;" ' Permit Number n a-09I
=RECEIVEDBuilding Permit ApplicationPlanning and Development ServicesBuilding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone-(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electricai
PROPOSED INPROVEMENT LOCATION:
Address: Q!/
Legal Description:
Property Tax ID##: 3414-501-1701-000/9 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
CONSTRUCTION INFORMATION:
Add Monal work to {e Performed under this permit—check a appy:
HVAC U Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
RE9ectric In Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �, ��� Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US# 1 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 on next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: 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:
DESIGNER/ENGINEER:
_1L Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address: .
City: State: City: —State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER: __V Not Applicable BONDING COMPANY: Not Applicable
Name: game:
Address- Address:
City: may_
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 ofthe granting of this requested permit,I do hereby agreethat I will,in ail 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 fender or an attorney before
commencing work or recording our Notice of Commencement_
Sig re of Owner/Agent/Lessee Signature of Contractor/License Bolder
STATE OF FLORIDA = STATE OF FLORIDA
'COUNTYOF SAINT LUCIE COUNTY OF SAINT LUCIE
The fonroing instrumPn* ^:mowledged before me The forgoing instrurrte was acknowledged before me
this, Tay of 2%( by this ay of 20A�Z.by
-,TAMES W LAW JAMES W LAW
(N a of person acknowledging) (Name erson acknowledging}
01,�i
v V
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known AOR Produced Identification Personally Known '�-_ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ._�G Commission No_ _�� �to (Seal)'
ANNE BROWN W LMACH ANNE BROWN WALMACH
SSION#FF984663 = MY COMMISSION aY FF384663
Revised 07/15/2414 '' EXP1FtES April 21.2ozo ':;>
i^onisa�orb� FbraaMo� �,,,, wog 39aarsa EXPIRES April 29.2o20
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
I]ATE
COMPLETE
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NITIALS
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