HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Aa, Permit Number.
X.
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PRGPO6ED�[N.P.ROVEMENT LQCATION!
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: LeftSide:
RTP' ON:C F.V�ORK:.
Replace meter center with a combo pack
.CO'( ST#itxC€ QN-II'VORMATION:
Additional work o be Derformed under this permit—c ec all t=appy:
IDHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric Plumbing Sprinklers 1:1 Generator D Roof
Total Sq. Ft of Construction: Sq.Ft of First Floor:
Cost of Construction:$ 220, Utilities:0Sewer Septic Building Height:
:'O ` ftj!LESSEf: 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 on 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. ��/
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SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFORMA11ON:
m
E114NER� GiNEER: �Not Applicable
Nae: _ MORTGAGE COMPAII�Y: �!NCA Applicable
Name .Narne:
Address: Address:
City: State: city: State:
Zip: Phone: Zip: Phone.-
FEE
hone:FEE SIMPLE TITLE HOLDER: -V—Not Applicable BONDING COMPANY: -%e,'Itlot Applicable
Name: Name:
Address: Address:
City: G-ty.
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced-priorto the issuance of a permit.
St Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whidt is in conflict with any applicable Home Owners Assocrataon rules,bylaws or and covenants that may restrict or prohibit such
strucwre.Please consult v&h your!tome Owners Association and review your deed for any restrictions which may apply_
In consideration ofthe granting of-this requested permit,i do hereby agree that 1 will,in all respects,perform the work
in accordancewith the approved plans,the Florida Building Codesand St.Lude County Amendrnents_
The following building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses t6 another non-residential use
WARNING TO OWNER:Your faRur+e to Record a Notice of Commencement may result in your paying tvAce 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.
S" ature of owner/Agent/Lessee ature of Contractorf Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
epUNTyOF SAINT WCIE cOU31l yOF SAINT WCiE
The forgoing instru ent' acknowledged before me Theforgoing instrument was acknowledged before me
this day of _20 Z---b, this_ 7_day of��20,[�by
-jAN1ES W LAIN JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)'
(Signa f I�lota Public State of Florida) (5gnatu Notary Public State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type ofIdentifi�on Produced
EE 845906 NOTLAW
ARY PUBLIC JULIET
LLRed
No_ AiE OF FLORIDA commission No. EE 845906 _ ARY PUBLIC
M"T"
rATE OF FLORIDA
Cor�r a EE846906
t moires 10/26!201,5
7/ 5/2(}I4
FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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