HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 41U
RECEIVED
Building Permit Application DEC,
Planning and Development Services
Building and Cod.e Regulation Division ST, Lucie County,Permitting
2300 Virginia Avenue,Fort Pierce FL 34-982 L:: J
Phone:(7721462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEM ENT LOCATION:
Address:
Legal Description:
PropertyTax lD#: 1309.111-OGOI-000140 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks FrontBack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additionalwar ICIODE ertormed under this perm it— ec all that apply:
CHVAC Gas Tank ❑Gas Piping FIShutters F]Windows/Doors F
9 Electric UPlumbing OSprinklers FIGenerator Roof
Total Sq.Ft of Construction: Sq_Ft.of First Floor:
Cost of Construction.$ 0
Utilities: Sewer Fleptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne.Suilding Corp- Name: James W Low
Address: 8000 S US it I Suite 402 Company: Law's Electric, Inc.
City: Port St.Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: Cfty: 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: lawselecWcinc@_aol.com
from the Owner listed above) State or County License-_ ER0000122
If value of ruction is$250D or more,a RECORDED Notice of Cornmencementfs required.
i,-d Lt eIeLeZLLMVI eZo:ol, el, i,l, 3EQ
SU PPLEMENTAL CONSTRUCDON LIEIq LAW INFORMATION:
DESIGNERIENGINEER: 7, NotAppftable
MOkTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State: C'ttV-. State:
Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: -,,/Not Applicable BONDING COMPANY: T,�Nat Applicable
Name." Name:
Address: Address:
TIP-- Phone: 7jp-- Phone:
NERI CONTRACTOR AFFIDVIT.Applicadon is hereby madeto obtain a permlytto do the work and installatfort as indicated.
I cerdfy-Lbat no work or Installation has commenced priartothe issuance of a permit
S -e re
Lumayrestrict arse
IF in colxtTctw�tll any applicable Home Owners AssoraaUon rules,bytaws ar an covenantsthat such
re
in consideration&the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in-arcordance vaith-the approved plans,the Florida Suliding Codes and SL Lucie County Amendments.
Th e fallowing,building permit applications are exempt from undergoing-a full concurrency review:room additions,
accessoyYsbructures,midimming,pools,fences,walls,signs,screen rooms and accessory usestb another non-residential use
WARNING TO OWNER-.Your failure to Record a Notice of Commencement tally result in your paving 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 obWjn financing,consult mfith tender or an attorney before
COTrimenifing work or recOrding our Notice of Commencement.
nature of owner/Agentf Lessee �i�-ature of Contractor/license Holder
.3tureofo owner/
STA-f E OF FLORIDA STATE OF FLORIDA
C013NTY OF- ST-LUCIE CouMy op ST. WCIE
-Ibefo Trig instErt was acknowledga"- efore me Theforgoing instruiruentwas aOmowledged before me
this /r/ day of this // day of 20-Zy—bY
JAMES W LAW JAMES W LAW
(Nam f person ac mmz1Jadgmg1 [Name of person aWtim*Iedging
tic/
(signature of-Notary Public-State Florida) (Signature of NotaryPublic-State of Florida)
Personally Known , v-' OR ProducSdIdentrucatfon Personally Known -� 'OR Produced Identification
Type of Identification Produced Type of Identification Produued_
R
commission ivo. FF
Commission No. (SeaIj R
ANNE BP09P WALMACH '
ANNE BROWN WALMACH MY COMMISSION#FF9M63
63 EXPIRES April 21,2020
MY COMMISSION#FF9846
Revised 0713512014 EXPIRES April 21.2020
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REVIONS FRONT ZONING
SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
CMcU NT1RREVIEW
RMEW REVIEW REVIEW REVIEW REVIEW
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RECEIVED
FATE__rE
COPAPLETED
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