HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date:--7.. --0, / i ..- )as Permit Number 1,811-014
Building Permit Application ikok "71/4t,
Planning and Development Services It.*N1 e?
Building and Code Regulation Division St 'rid>
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2300 Virginia Avenue,Fort Pierce FL 34982 lig c'p
Phone:(772)4624553 Fax:(772)462-1578 Commercial Residential Ose s,
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PERMIT APPLICATION FOR: Electrical
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' PROPOSED INPROVEMENT LOCATION: _ _ _
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Address: e7- /6. I ,..-,2 --.4%------1 i -
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Legal Description: ,
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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
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CONSTRUCTION INFORMATION:
- 1 As;Mona wor to se e orme s un.er t is permit–c ec a 1• appy:
II
OHVAC _n Gas Tank Plumbing EiGas Piping —
Shutters El Windows/Doors
III Electric
_ 0 Sprinklers Eli Generator ['iRoof
Total Sq.Ft of Construction: Sa$1.4 of First Floor:
Cost of Construction:$ 4 60a,00 Utilities:I 'Sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
8000 S US#1 Suite 402 Company: Law's Electric, Inc.
Address:
City: Port St.Lucie State: R- 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
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Fill in fee simple Title Holder on next page(if different E-Mail: lawselechicinc@aol.com 1 i
from the Owner listed above) State or County License: ER0000122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is fequired. ,
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: ✓Not•Applicalble
Name: Name:
Address: Address: I
City: State: City: State:
Zip: Phone: Zip: Phone:
1
FEE SIMPLE TITLE HOLDER: I/Not Applicable _ BONDING COMPANY: c/Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone: I
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OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
Icertify 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; i
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
commencing work or recordingyour Notice of Commencement.
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Sign re of Owner/Agent/Lessee Sig jure of Contractor/License Holder
STATE OF FLORIDA -�JSTATE OF FLORIDA
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COUNTY OF �fit�F.�.� COUNTY OF - 1 o f:/,(,Pr�-'i
the�foo�reooiing instr mEnt was acknowledged,before me The forming inst imPntwas.ac powledged before me
thi ..4day of- 1P:�Y '4 ,20/R )3y this L -flay of.: _ _�o-%. 0_(t',by
(Name of person acknowledging) (Name of person acknowledging)
&>.°c;—d '
(Si atur of Notary Public-State of Florida) (Si atu of Notary Public-State of Florida)
Personally Known ✓OR Produced Identification Personally Known 1— OR Produced Identification
Type of Identification Produced - A �ulietLaw_ TYPO of Identification Produced
• t ` STATE OF'FLO o •: Juliet Law
Commission No.l ���7_ c �_ ttlRAssion No. G�O�� 3.S NOTARY PIfBU
Comm#GC 046735 :'"
�, �' STATE OF FL )A
• • e Expires 1'/13/2020 �;d Curer*GC04C7
• litE a• Expires 1111312V20
Revised 07/15/2014 -
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED _
DATE
COMPLETED - _