HomeMy WebLinkAboutBuilding Permit Application ALL APPI. BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date` ' Permit Num e
r..`d-J 8.r. ,
�..:_.:�:.....--- • ..:::_ .__� Building Permit Applicati n J
Planning and Deveio�mentServices P AN 14-2o20
Building and Code Regulation Division errrljtt1n
2300 Virginia Avenue,Fort Pierce Ft 34982 St• 9 ®epart
Phone:(772)462-1553 Fax:(772)462-3.578 Commercial [ Ment
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT L CATION:
Address:
Legal Description- CL
Property Tax ID##: 3427-119-0002-00015 f'P 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:
-Addrtional work to be nertormed unclerthis permit—c e all t=appy:
HVAC Gas Tank 0132s Piping OGenerator.
Shutters 11 Windows/Doors
Electric Plumbing Sprinklers F1 Roof
Total Sq.Ft of Construction: 5 Ft.of First Floor:
Cost of Construction:$ Z2 are).eD Utilities, Ft
a Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Bullding Corp. Name: James W Law
Address: 80DO S US#9 Suite 402 Company. Laves Efectric, 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: 34852 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4592
Fill in fee simple Ttle Holder on next page(if different E-Mail: lawselectricinc@aol.com
frorn the Owner listed above) State or County License: ER0000122
if value of construction is$2500 or more,a RECORDW Notice of Commencement is required.
6'd -89Z6-699-699 LV£E8L8ZLLMV-1 d96:E0 OZ tib Uef
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: V Nat Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:---
Address: Address:
Citi: State: city: 5tate:
ZIP: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _;k/Not Applicable
Name: Name:
Address: Address:
City: crev:
Zip. Phone: Zip: Phone:
I cerary that no work or installation has commenced priiarto 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
struc.ure.Please consultwith 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 here-by 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.
it 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 OW14EFI: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 recording your Notice of Commencement.
Si Lure aT Owner/Agent/Lessee
Sigffatke of Contractor/license Holder
STA71E OF FLORIDA STATE OF FLORIDA
COUNTY,-OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instru t acknowledged before me The fniraoing insMnment wasnOmwiedged before me
t h 11'_k §T—day o f this/4' ay
0.
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging
is
SIgnctr_t�ufecf Notary Public-State of Florid a) (Signature-_d"f�Notary public-State of Florida)
Personally Known k,"- OR Produced Identification
Personally Known V-` 0 R* Produced Identification
Tipe o'Identification Produced Type of Identification Produced
JUlet Lau Jumet Law
Commission Na_ GG 046735 NOTARY PL111LIQ)rnmission No. GG046735 NOT
PL)sLIC
STATE OF FLORtOA
Corrinvii Grou7.-;.r, STATE OF FLORI.-
Expires 11/1312020 -------
Rleii,ved 07/15/7-014 EXPIreS 11/1312(,�;
I—PIEVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
I-OW)
1NlTJALS
Z-d LKEeLezLi MV1 dLl,:C0 03 t,6 uer