HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC BLE INFO MUST BE COMPLETER FOR APPLICATION TO BE ACCEPTED
Date: �2d1� Permit N
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Planning and Development Services 'CE'
Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982Phone:(772)462-1553 Fax:(772)462-1578 Commercial
PERMIT APPLICATION FOR: Electrical Q
PROPOSED INPROVEMENT LO ATION:
Address:
Legal Description:
Property Tax 1D#: 1306111-0001-0001.0 /E.7 Lot No.
Site Plan Name: Block No-
Project Name'
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
ACCIMOnal work to r orme un r ss perms —c ec a app y:
AC Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric Plumbing Sprinklers Generator LJ Roof
Total 5q. Ft of Construction: S Ft.of First Floor.
Cost of Construction:$ _ _ DC7, C> > Utilkies:0Sevier F Septic Building Height:
OWN ER/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: 34352 Fax: tray: 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: lawselectricinc(gaol.com
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:
DESIGRO/ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: State- City:
Zip. Phone Zip:_Phone:
FEE SIMPLE TITLE HOLDER: —Not Applicable BONDING COMPANY:
_Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: ZIW. Phone:
OWNER/CONTRACTOR AFFIDVIT-Application Is hereby made to obtain a permit to do the work and installation as Indicated.
I certify that no work or Installation has commenced prior to the issuance of a permit.
S, Lucie County no represent tion that is granting a permit will authorize the permit holder to build the subject structure
wfilch Is n con ct wit 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 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 plank the Florida Building Codes and St.Lucle 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 OWNEIC YOUR FAELURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT INUST HE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST wswnox IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WffH YOUR LENDEIII!OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
WAture of Owner/Lessee/Contractor as Agent for Owner Sif&ture=61f"ci6r,ytractor/Uicense Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF c7x-14ZAe5-- COUNTY OF
The forgoing Instrumen�' was acknowledged before me The forgoing Instrumept was acknowledged before me
this_&_day of -14zer 20./q by this-KT'day of 70�by
Name of person making statement. Name of person making statement
Personally Known Lf OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(Signature of a (slignatur a &rida)
STATE OF FL
commission STATE OF FLOFIMI) Commissil IV=ORIDA Seal)
G282727811
EX 812612022 99060 9/2612022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev.2IT/19
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