HomeMy WebLinkAboutBuilding Permit Applicaiton -------
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: th7cp-04,_;20 Permit Number: pc) 3 0 55y
- RECEIVE?
Building Permit Application MAR 26 2010
Planning and Development Services
Permitting Department
Building and Code Regulation Division St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X LI
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: /5 '7 7, `'? cg- /573 K--2,6
Legal Description:
Property TaxiD#: /it/ -S—C) /7 6 1— C
Lot No..
Site Plan Name: Block No. I
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:
..•'trona wo to ,ET orme, un er t permit—c ec a appy: Eii
DHVAC U Gas Tank FGas Piping Shutters flWindows/Doors ,
FV-1 Electric Plumbing []Sprinklers I—Generator Roof
Total Sq.Ft of Construction: Ft.of First Floor:
Cost of Construction:$ ter" ..)c.), 9C Utilities: 1 1_Sewer 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: 54952 Fax: City: Port St.Lucie state:JfL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-330
E-Mail: Phone No._ 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricincgaol.00m
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: t/ Not Applicable 1
MORTGAGE COMPANY: %.,/ Not Applicable
Name: Name: % I •
Address: Address: % il •
City: State: City: State: 11
Zip: Phone: Zip: Phone: !I
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: V_Not Applicable
Name: Name: 11
_
Address: Address: I i
City: City: 11
Zip: Phone: . Zip: Phone: II
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. I
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.Lude County Amendments. 1
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 11
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice forll
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 recording your Notice of Commencement.
t/ ' 1
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Lure o Owner/Agent/Lessee Si tire of Contractor/License Holder • 1
STATE OF FLORIDA - .• STATE OF FLORIDA 1
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this ak.day of 27,--ti-e-Z, , 20:a by this7b day of 17-.42..ccio ,20/9 by 1 '
TAMES W LAW JAMES W LAW
(Name of person acknowledging} (Name of person acknowledging)
I- .
-4. villib. 11Z4i,— wila
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..11t. 1.7,1s.
.-...
. (Sign.tore of Notary Public-State of Florida) (Signature(7otary Public-State of Florida)
Personally Known 1.•"'. OR Produced Identification Personally Known 1.--*"/ OR Produced identification
Type of Identification Produced Type of Identification Produced
...Cr L'''''...• NOTARY kJ
_ IP—Al:-- sjulITAet'TELInvOF FL1j1,'BLICOR't
..,, ..:i . 'Rivet Lav
. •GG 046735 _.-.1-2 --- NOTARY PUELtbrnmission No. -GG 046735
Commission No. ...
0 L--, -,STATE OP FLORIOA
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• :-....'.- Corrirn#0G0487,15 ..11.44,..!_0. -
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ExPlres 11/13/2020
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Revised 07/15/2014 . . • . Expireii:13/2t..-
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REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
• COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE _
COMPLETE
_ .
INMAL5
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