HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 5b
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
PREP II 'Pt011E11�' ITt7TiC3�l:
Address: /b
Legal Description:
Property Tax ID#: 1301-111-0001-00015 e.e- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
tCtI PT'rOh1:O. .1ll1 .1
Replace meter center with a combo pack 'N�W n
CON5Ti .CT1F } 1"f3 .
Additional work to ug
performea under this permit—check all appy:
HVAC LJ Gas Tank []Gas Piping _Shutters ❑V�ndowsJDoors
aElectric Plumbing Sprinklers F�Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ �"G .od Utilities. Sewer Oseptic Building Height:
Q.11UNElEEI CO'1TRlkC[?OR:.
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: PL
Phone No. 772-876-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: Iawselectricinc@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.
E'd 89Z 6-699-699 MV-1 e9ti:60 9 6 60 Inf
SUPPLEMENTAL CONSTRUCHON LIEN LAW INFORMATION:
MORTGAGE COMPANY-z- -,/Not Applicable
Name: Natne:
Address: Address:
City: State: City:
--starte.
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,V Not Applicable BONDING COMPANY: -%/-Not Applicable
Name: Name:
Address: Address:
City. Crty.,
Zip: Phone: Zip: Phone:
1 certiry that no work or installation has commenced:Priorto the issuance of a permit-
St Lune CourLy makes no representation that 3s granting a permitwili authorize thedpermit holder to build the svb;eel re
uyhich is in conflict with any applicable Home Owners AssocEatian rales,bylaws or an wvenants that may restrict or prohibit such
structure.Please consult uvcth:aur t•iome Clwners Assvc�atlon and reeriew your deed for any restrlctfons vuhich may apply.
in consideration of the granting of this requested permit,I do hereby agreathat I will,in all respects,perform the work
In ac rdance mr[th the approved plans,the Holds Building Codes and St.Lucie County Amendments.zc
The lowing building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fence4 wails,signs,screen rooms and accessory uses t6 another non-residential use
WARNING To OWNER:YouriWluretD Record a Notice of Commencement may result in your paying tvfte 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
comm- endme work or recording your Notice of Commencement.
re of owner,Agent/Lessee afore alContractorlLicense Holder
�'—
STATE OF FLORIDA STATE OF FLOPJDA
SAINT Lt1C1E COUNTYCIF SAINT WCIE
COUTMO
The forgoing Instru ent acknowledged before me 1beforgoinginstrument was acknowledged before me
-2 156Y day of QejZ�� 26ZS'Sy
DZ
Lr
jt%MES W LAW JAMES W LAW
[Name of person acknowledging) (Name of person acknowledging)
—(Sign- Noli'(Y Public-State of Florida) (Signatu'W&Notar% Public-State of Florida)
Personally Known OR Produced Ideniiificadon Personally Known V"' OR Produced Identification
Type of Identification Produced Type of Idenill"Ication Produceii
NOTARY PUBLIC JULIET LAW
cornn&sian No- EE 846906 PUBLIC
commisslonNo. a846 !6 . OF FLORIDA STATE OF FLORIDA
Comms EES46M commgEEARM
-209 ATE -�y
. W
*aSTAO
Expires 10f2&2016
Revised D7/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REXnEW REVIEW REVIEW REVIEW REVIEW REVIEW
-UA—TE
CONIPLETf
tr d MV-1 P-9V:60 9L W Inr,