HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE JNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
Building Permit Application JUL 2 0 201
Planning and DeveilofimentServices
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
PROPOSED INPROVEMENT LOCATIOIJ:
Address: 0 :2
Legal Description:
PropertyTaxlD#,_ 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks FrontBack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work to be erformed uniler this permit--c heck all th� apply:
[]HVAC Gas Tank 17Gas Piping El_Shutters''
h utters FlWindows/Doors
WElectfic Plumbing F�Sprinklers O—Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor
Cost of Construction:$ Utilities:E-ISewerr-leptic Building Height:
OWNER/LESSEE.' 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 F= -- 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: lawsdectricinc@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 INFORMAMON:
DESIGNER/ENGINEER: ;! Not Applicab{e -- MORTGAGE COMPANY: ,/ Not Applicable
Mame: Nafne-
Address: Address:
COY= State: City:
Zip: Phone: Zip: Phone: State:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address-
City:
ddressCity: City:
Zip: Phone: Zip- Phone
-
1 certify that no work or installation has commencedpriorto the issuance of a permit
st Lucie Cou�riv makes no representafionthat isgranting apermit wi11 aufihorize the ermit hofderto build the subjectstructure
which is in con pct with any applicable Home Owners Assouation rules,bylaws or andpernrenants that may restrict or prohibit such
structure.Please consuitwrth your Home Owners Association and review your deed for any restrictions which may apply,
in consideration of the granting of this requested pennit;l do hereby agree that I vall,in all respects,perform the work
in accordance with the approved plans,the Florida Buildmg Codes and St Lucie CountyAmendments.
The following 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 OWNER Your falkwe 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 vuith lender or an attorney before
commending work or recording your Notice of Commencement.
S0fature of Owner/Agent/Lessee ature of Contracmrl cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT WCiE
'thefor oing instru wa acknowledged before me The forgoing instrument wa acknowledged before me
this day of r _20 Eby this day of 20,<.Tby
-,LAMES W i:Aw JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
w
(Sgna ' f Notary Public-State of Florida) (Srgnatu a otary Public-State of Florida)
Personally Known OR Produced Iden cation Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced
NOTARY PUBLIC JULIET LAW
Commission Ivo_ EE$46906 Commission No. EE 846906 - QIJiARY PUBLIC
NATE OF FLORIDA STATE OF FLOWDA
Comm#EES46M
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Revised 07/15/2014 Expires ior�ar�ois
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VfI_lIHS FRONT ZONING SUPERVISOR PLANS VEGETATION SIATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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