HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED T I �
Date: �� Permit Number: (>L}
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce F134982
Phone:(772)452-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: lZ,/ p
Legal Description: is-
Property Tax I D#• 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED-DESCRIPTION OF'WO.RK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
nitrons wor o e oe orme under t +s permit—c e a appy:
LJHVAC LJ— Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Q Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ Utilities: El Sewer Septic Building Height:
OWNERILESSEE: 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: 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 an next page(if different E-Mail: lawselectricinc@aol.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.
6•d 8926-699-199 Md� dLZ:CO 91• LZ idV
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERjkNGINEER: :/ Not Applicable MORTGAGE COMPANY: V Not Applicable
Name- Name- I
Address: Address:
City- State: City: Slate:
Zip: Phone: Zip: Prone:
FEE SIMPLE TnU HOLDER; t/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
• I
I certifythat no work orinstallation has commenced-priorto the issuance of a permit. '
Eh,TLc1hc1,e Count�yy makes no representation thatis grans in corrliistwrth ass��yya�ppil®ble Home Owners cture.Please consult w�your Home Owners Association and rev?ew yaur deed tnr any restrictions�uticch may apply.
In consideration of the grantingofthisrequested perm�i do hereby agreethati.uill,inall respects,perform thework
in accnrdance with the approved plans,the Florida Building Codes and St.Lude County Amendments.
Thefaliovning building permit applitationsare exemptfrom undergoing a full concurrency review:room additions,
accessory structures.swimming pools,fend walls,slgns,screen rooms and accessory usesto another non-residential use
WARNING TO OWNER:Yourfailure to Record a Notice of Commencement may result in your payingtwice for
improvements to your properly.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
commentins work or recording our Notice of Commencement-
re
ommencementre of Owner/ gent)Lessee Pfiatwe of Contractor/License Halder
STATE OF FLORIDA STASAINT LUCIE COUTE OF NTY OFO�DA SAINT LUCIE
'
COUNTY OF '
"thef�g insrrumentwa6�
s acknowledged ore me The lbrgoinginstruaint was acknowledged before me
this day of oc — 7D ZA by this,&Vay of 20 y
,[AMES W LAW JAMES W LAW
(name of person acknowledging I (Name of person acknowledging)
'A' xz- ;:��- -
ISI Notary Public-State of Florida)
(Sign Notary Public-State of Florida)
Personally Known V OR Produced Identification Personally Known OR Produced Ident3ication
Type of ldentificadon Produced Type of ldentifcation ProduceA
NOTARY PUBLIC _
JULIET LAW
Commission llfo_„ _ 846906 AT£OFFLORIDA Commission No. EE 84MOS - l'ARYPUBLIC
. Comm#EE846M STATE OF S469M A
Expires io/2 =16
Revised 07115/2014
EDA
FRONT zONiNG SUPERVISOR PIANS VEGETATIQN SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
Z•d 8926-699-699 mv/ dLZ:£0 9L LZ add