HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
N�
R.1
RECEIVED
Building Permit Applicatic in MAR 18
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone:(772)462-15S3 Fax:(772)462-1578 Commercial -Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
.Address:
Legal Description:
Property Tax ID#: 3427-111-0002-000/5 X! • Lot No.
Site Plan Name: Black No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center With a combo pack
CONSTRUCTION INFORMATION:
Adartionalworf(tot1pnerformed under this permit—check all that apply.
FHVAC ri Ga.Tank FIGas Piping E]_Shutters F—]Windows/Doors L
Electric F-1 Plumbing 05prinklers Generator FlRoof
'
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ Utilities:ElSeweroSeptic Building Height:
-OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402 Company: Law's Electric, Inc.
City: Port SL Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Part St. Lucie State- FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-678-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder ort next page(if different E-Mail: lawselectiidinc@aol.com
from the Own&listed above) State or County License: ER0000122
if value of construction is$250D or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER-. Not Applicable MORTGAGE COMPANY: %/ Not Applicable
Name: Name-— N
Address: Address:
cltY.
State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TtTLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address. Address-
cfty: City:
Zip: Phone: Zip: Phone:
I cer*Ify that no work orinstallation has commenced priorto the issuance of a permit.
St.LucleCaun makes no representation that is granting a permit will authorize the permit bolder 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 cDnsjdEration ofthe 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 app3ications are exempt from undergoing a full concurrency review.room additions,
accessory structures,swimmingQ 000ls,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WAR 111ING 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
::orn mencing work or recording your Notice of Commencement.
Si -,tire 4 Owner/Agent/Lessee Si attire of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 1,L day of 20�by this 1�day of. 20.Z_�by
JAMES W LAW JAMES W LAW
(Nance of person acknowledging 1; (Name of person acknowledging)
{Signatsxre of Notary Public-State of Florida) {Signature dT-NotarV Public-State of Florida
Personally Known kms_ OR Produced Identification Personally Known �- Of.Produced identification
Type c2ldentrfication Produced— type of Identification Produced
imet Juliet Law
GG 046735 NOTARY an No. GG 0"735 NOTARY
Commission NO. PUBLIC
o U ILCRI33E M m i s s i
Pit
STATE OF F PA STATE OF FLORi-
CWr4ffW GG
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FPtEVT1EVS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COM?LETE
INITIALS,
P-86:20 61, 91, J'BN