HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: U S Permit Number: l,96 6 061
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(7721462-1553. Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical EJ
PROP W tEMtOft ATII
Address: r✓�� cL
Legal Description:
PropertyTax ID#: 1306-111-0001-000/B { Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
: 3xWo-:, »,
Replace meter center with a combo pa
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Aclaitional wor toa performed un ert is permit—check all t=apply,
0KVAC E—IGas Tank ❑Gas Piping _Shutters FiWindows/Doors
Electric 11 Plumbing ❑Sprinklers 7 Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ c7�`�Q•�d Utilities: Sewer Septic Building Height:
ov�►�i»R EEssEIE CON &A T
Name Wynne Building Corp. Name: James W Law
Address: 6000 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
F71 in fee simple Title Bolder on next page(if different E-Mail: lawselect icinc@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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DSIGNERjENGIN E):R: Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name_ Narne-
Address: Address
CTLy: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE-n I LE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name= -
Address: Address:
City: City---
Zip: Phone: Tip: Phone:
I certify that no work or installation has commenced.•prior to the issuance of a permit.
st Lucie Coumv makes no representation that is granting a permit will authorize the permit holder to build the subjectstructupe
which Is in eonflictwith anyappiicable Home Owners Association rules,bylaws or and covenants that may restrict orprolhbitsuch
structure.Please consult with your Home owners Association and revlewyour deed forany restrictions which may apply
inconsideration ofthe granting of this requested permit I do hereby agreethat l will,in all respects,perform thework
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The IWIci ing 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 UWNEM Your failure to Record a Notice of Commencement may result in your Paving tmce 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
commenting work or recording your Notice of Commencement.
ature of awned Agent/Lessee nature of Contractorf Ucense Holder
STATS OF FLORIDA = STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUI11TY OF SAINT WCIE
TEs forgoing lnstrn entwa acknowledged before me Theforgoing instru ent s acknowledged before me
this -"P- day of� 20 Eby this�_day of 202,!L by
-IA-MES W LAW JAMES W LAW
([Name of person acknowledging) (Name of person acknowledging)'
W •
(S Nota Public-State of Florida) (Sgnatu Notary Public--State of Florida)
Personally Known OR Produced Idenification Personally Known ✓ OR Produced Identification
Type of Identification Produced H 11MT IApy Type of Identification ProducPA
EE 846906WA
ARY PUBLIC - JULIET I�►W
Commission No A. TE OF FLORIDA Commission wD. EE 846906 NARY PUBLIC
m#EES46906
STATE OF FLORIDA
Com
i Bores 10/28/2016
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION • SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INff1ALS
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