HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
I'
Building Permit Application RECEIVED
Planning and DeveicipmentServfces
Building and Code Regulation Division APR 0 8,201g
2300 Irliginic Avenue,Fort Pierce FL 34982 ap
Phone:(772)462-1mm
553 Fax: (772)462-1578 Coerdal Re?Rtaq epartm
ude mwnry&t
—
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax I D#: 0=0=01::7 Lot No.
Site Plan Name: Block No_
ProjectName:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
I
CONSTRUCTION INFORMATION:
A Mona work
to bF nerformed—under this permit—check 511 fda app Y:
HVAC Gas Tank FIGas Piping Shutters Windows/Doors
Electric Plumbing OSprinklers o Generator ORoof
Total Sq.Ft of Construction: SQ_Ft.of First Floor;
Cost of Construction:$ r
Util4ttles:U Sewer[�]Septic Building Height:
OWNER/LESSEE: CONTRA(-TOR:
Name Wynne Building Corp- Name: James W Law
Suite 402 Company. Law'sElectric,Inc.
Address- 8000 S US#1 -
city: Port St Lucie State: FL Address- 216 Beach Avenue
Zip Code: 34952 Fax: City: Pon St.Lucie State: FL
Phone No 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill i.n fee simple Title Holder on next page (if different E-Mail: iawselectridnc@?aol.com
from the owner listed above) State or County License.. F-RDOOD122
of commencement is requ-n-ed-
9-d -99z6-699-699 8LZ41, 61, 80 AV
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City:--- State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: Zip: Phone:
r 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.
inconsideration 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,
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 recordingvour Notice of Commencement
Sigk ure ot Owner/Agent/Lessee Si Lure 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,2,dayof_ t 1. 20ZJby, thisr,';,,,day of, Z .20J by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
(Sign a of Notary Public-State of Florida} {Signature 8f-Notary Public State of Florida}
Personally Known ✓OR Produced Identification Personally Known 11�OR Produced Identification
Type of Identification Producer! Type of Identification Produced
--- i w _
Commission No. GG 046735 NOTARY pU ILbmmission No. GG 045735 Juliet Law
o STATE OF FL RIBA a NOTARYPUBLIC
Comte OGSTATE OF FLORI'
Explrea 11/13/2020 Expires 11/1312 ;
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
. DATE
COMPLETE
INITIALS
9'd -89Z6-699-699 LVE99L9ZLLMV'l aLZ6 % 20 AV