HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
L
7091217-311111911M
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Ifirginla Avenue,Fort Pierce Fi.34982
Phone-(772)462-1553 Fax-(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Eiectrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 3414.501-1701-000/9 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:
Adclitronalworictopeperformed under this permit--checK all 1hat apply:
HVAC 0 Gas Tank Flas Piping "Shutters Windows/Doors
Electric F-1 Plumbing npiinlders []Generator DRoof
Total Sq.Ft of Construction: So. Ft.of First Floor.
Cost of Construction:$ Utilities1_1 Sewer FISeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address. 8000SU8#1 Sulte402 Company: Laws Electric,Inc.
City: Port St.Lucie State: FL Address: 218 Beach Ai—nue
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*idle Holder on next page(if different E-Mail: lawselectrichic@aot.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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MVI de)o:,vo 9y go unr
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable _. ---•__ MORTGAGE COMPANY: ✓ Not Applicable
Name- Marne:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEESIMPLE 11I LE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name•
Address: Address.
City: Qty:
Zip: .Phone: Zip: Phone-
I certify that no work orinstallation has commenced-priortothe issuance of a permit
St Lude County makes no representation that is graining a permit wail authorize the permitholderto build the subject structure
which is in conflictwith any applicable Home Owners Association Hiles,bylaws or and covenants that may restrict or proMw such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting 6fthis requested perms 1 do hereby agreethat 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
Thefollowing building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses th 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
commencing work or recording our Notice of Commencement
rratvre of Owner)Agentl Lessee SVhature of Contractorll kense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNW OF SAINT WCIE COUNTY OF SAINT LUCiE.
The fnrM ing instrumentwas acknowledged before me The famoing instrument was acknowledged before me
this_,.V'day of 20 thlsS�:day of _fad g,� .20LS—by
-)A-MES W LAW JAMES W LAVA
(Name of person acknowledging) (flume of person-acknowledging)'
(s,F_a_wr'6bf Notary Public-State of Florida) (SigngMiaf Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known 1/ OR Produced Identriication
Type of Identifikation Produced Type of identification Produced
E 846906AWA
ARY PUBLIC JULIET LAW
Commission iVo_ TE OF FLORIDA Commission No. EE 846906 r JiARY PUBLIC
rr►il EEB46908 STATE OF FLORIDA
Revised 07/152014
LhfS FRONT ZONING SUPERVISOR PLANS VEGEfAMON SEA TURTLE MANGROVE
COUNTER REVIEW REVIi:1N REVIEIN REVIEW REVIEW REVIEW
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