HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: \ 1VJrD- Q1—R1(0—
RECEIVED
Building Permit Application MAY 0 6 2919
Planning and DevelopmentServices
Building and Code Regulation Division
2300 VirginioAvenue,Fort Pierce FL 34982 L46je rpLinty, PermittingJ
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED (NPROVEMENT LOCATION:
Address:
Legal Description: Cz
Property Tax ID 4: Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back:_Right Side: Left Side:
DETAILED DFSCRIPTIt3N OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Adamons lievorVt—obegerform d under this permit—check all t=apply:
HVAC Gas Tank []Gas Piping "Shutters El*uVindows/Doors
Electric Plumbing E]Sprinklers ri Generator �Roof
Total Sq.Ft of Construction: So-Ft'()f First Floor:
Cost of Construction:$—Y'P25-' utilities:0 Sewer F]Septic Building Height:
7
OWNER/LESSEE: CONTRACT OR:
Name Wynne Building Corp- Name: James W Law
Address: 8000 S US#i Suite 402 Company: Laws Electric, Inc.
ri
City: Port SL Lucia 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: lawseIecWc]n:cQaoLc0m
from the Owner listed above) State or County License: ER0000122
if value of Construction is 00 or more,a RECORDED Notice of Commencement is required-
C-d B7,9:M 66 90 AOA
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGPIER/ENGINEER-. Not Applicable -_ MORTGAGE COMPANY: v Not Applicable
Name: Name:
Address: Address:
f, City: —State: City-
T1 p: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: fNot Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone: Zip: Phone:
I carMy that no work or installation has commenced prior to the issuance of,apermit.
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 vLith any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
struc-ure-Please consult with your Home owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested pen-nit,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.
ii 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
--ornmencing work or recording Your Notice of Commencement-
-a_'Oool�
Sitore
bfdwner/Agent/Lessee 56- Ire of ContractorlUcens Holder
t
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAIINT LUCIE COUNTY OF SAINT LUCIE
The forgoing-instrument was acknowledged before me The forgoing instrument was acknowledged before me
thl day of :ZJZTdt 201 Y' thiLJ_"-i;y of 20„Z by
.
JAMES W LAW JAMES W LAW
(Name of person acknowledging) t±Name of person acknowledging)
(Sigri'trtutd—of Notary Public-State of Florida -(signature'dif4dotiiry Public-State of Florida)
Personally Known y-' OR Produced Identification Personally Known At'' OR Produced Identification
Type o-.-Identification Produced- Type of Identification ProducecL,
Miet Law Juliet
'GG 046735 NOTARY Pu*Icbmmission Na. GG 7,15 NOTARY pUBLI
Commission No. 0" J&W La'N
o STATE OF FLPRIOA W C
• Ow"GG0407.14s, STATE OF FLORjr
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-REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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