HomeMy WebLinkAboutBuilding Permit Application Alit APPLICABLE INF 1 0 MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ON6
Date: dW:�V V ,c [90Lr
Permit Number:
APR 0 8 zo,
Building Permit Application Perfnitting Depart 8
Planning and DevelopmentServices Sr Lucie co r�ent
,gulation Division
Building and code Re unty
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
-PROPOSED IMPROVEMENT LOCATION:
Address: 1-6—
Legal Description:
& 6 0 Lot No.
Property Tax ID#:
Site Plan Name: Block No..
Project Name:
setbacks front_ Back: Right Side.:_Left Side:
DESCRIPTIONDETAILED OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION;
AdditionalworKTODeperformed under this permitGas Tank 7Gas Piping Shutters—ch-e-&-all-that appy:
FIVAC , n Windows/Doors
1:3
Electric 0 Plumbing 0Sprinklers FIGenerator ORoof
Total Sq-Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ Utilities:OSewer F]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp- Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Laves Electric, Inc.
City.* Port St.Lucie State: FL 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
Fill in fee simple Title Holder on next page if different E-Mail: lawselectricimr,(§aol.com
from the Owner listed above) State or County License- ER0000122
If value of construction is$2500 or snore,a RECORDED Notice of Commencement is reqdired-
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-AL CONSTRUCnON LIEN LAW INFORMATION:
DESIGNERANGINEER: NotApplicableMORTGAGE COMPANY-. Not Applicable
Name: Name:
Address: Address:
City: State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: --I/ Not Applicable BONDING COMPANY: _V_Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced priorto the Issuance of a permit.
St.Lucie jCcunt makes no representation that is granting a permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association ylaws or and covenants that may restrict or prohibit such
structure.Please consult%fftli your Home Owners Association and review your deed for any restrictions Which may apply.
In consideration 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.
Tice following building permit applications are exempt from undergoing a full concurrenqr 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 PayingtWice 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
commenting work or recording your Notice of Commencement.
3WtureofOwner/ftentl Lessee Si W�re of-C ntractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNTY-OF SAINT LUCIE COUNT'OF SAINT LUCIE,
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_11_day of - 24ala 20-7 by thls.,� dayof.. .20P?by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
(Sign - diNotary Public-State ofFlorida) (signature dftotary Public-State of Florida)
Personally Known � OR'Produced identification- Personally Known V' OR Produced identification
Type of Identification Produced- Type of Identification Produced
Va
JF:LC
.-Commission No. GG 046735 NOTARY PC! Commission No. GG 046735 Juliet Law
STATE OF 10A NOTARYPUMic
0=M#GG STATE OF FLORlf
camry
Revised 0711512014 Expires 4 At 1312020 Expires 11/13/,2C,;,,
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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FNtTiALS
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