HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED MAY 1,12015
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 lArginic Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IN PROVEMENT LOCATION:
Address: A,. �z �
Legal Description:
Property Tax ID#: 3414-501-1701-00019 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 at each address
CONSTRUCTION INFORMATION-
tuna lworktobneerformed under this permit--check all that apply:
E1HVAC Gas Tank E]Gas Piping Shutters Windows/Doors
r-"n -
1!�l Electric Plumbing f 1prinklers Generator Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$ 62,d C) Utilities:0Sewer aseptic Building Height.
OWNERAESSEE: CONTRACTOR.
Name Wynne Building Corp. Name: James W Law
Address- 8000 S US 41 Suite 402 Company: Law's Electric,Inc.
City: Port St Lucia State:FL Address: 218 Beach Avenue
Zip' a: U9,52. Port St.Lucie State- FL
Cod Fax city:
Phone No 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in feesimpleTitle Holder on next page(if different E-Mail: lawseledridnc@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.
6d 8926-699-699 MVI d69:t,0 56 66 ASN
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE S)GNER/E111GFiNEER: V Nat Applicable MORTGAGE COMPANY: ✓Not Applicable
Name: Name-
Address: Address:
city, State: City: State:
Zip: Phone. Zip: Phone.--
FEE
hone.FEE SIMPLE TITLE HOLDER: ,j/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
Phone: Z� .
;r. Phone:
1 certify that no work or installatfon has commenced•priorto the issuance of permit.
St.Lude County makes no representation that is grantinga,permitwill authorize the permit holder to build the subject structure
which is in conflflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohil*such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in conaderation ofthe granting of this requested permit 1 do hereby agree that 1 will,in ag respects,perform the work
in accordance With the approved plans,the Florida Building Codes and St i_ude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review-room additions,
accessory structures,swnruning 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 yollr 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
c-ornmencing work or recording our Notice of Commencement
gnature of Owner/Agent/lessee S afore of Contractor/Lieense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ' SAINT LUCIE COUNTY OF SAINT LUCIE
Thefor Ding in me was acknowledged before me The fo inginstru cknowledged before me
this day o 2Uby this day of ZUy
-IAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging) '
(Sign of Notary Public-State of Florida} (signat6r_eV Notary Public-State of Florida)
Personally Known '✓ OR Produced identification Personally Known t` OR Produced Identification
Type of identification Produced 1111 IEZ I AW Type of identification Produced JULI�LAW
EE 8459D6 LATE
PUBLIC
Commission No -- �p�pA CommLssion No. EE$469Q6 PUBLIC
ES46M STATE OF FLORIDA
Revised 0711512414 'JorArzo>`s
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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