HomeMy WebLinkAboutBuilding Permit Application (2) ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED //__�
Date: v? 020 s Permit Number: 1 i 5 eq "®oVD�
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Building Permit Application
Planning and Development Services
Buffding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(712)462-1553. Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROOW: d#R.PVE.MENS'=1~Q;CATI'C} is
Address: c1
Legal Description:
PropertyTax lD#: 1304111-0001-0001-0 L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Iw
Replace meter center with a combo pack
CONS71:C 'IO N.1 t�f,FORMiFtT1i:
Additional workto e e orme under this permit—c ec a appy:
HVAC Gas Tank Gas Piping _Shutters Windows/Doors
Electric 0 Plumbing Sprinklers []Generator D Roof
Total Sq.Ft of Construction: Sq-Ft.of First Floor:
Cost of Construction:$ d Utilities: Sewer Septic Building Height:
OWNIRRj�,sOEi -CON JTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US##1 Suite 402 Company: Law's Electric, Inc.
City: Port SL 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 INFORMAMON:
DESIGNERJtNGINEER: Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Naive-
Address: Address:
City: State: city: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name, Name:
Address: Address:
City: city:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced:prior to the issuance of a permit.
St Lucie Count�yy makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in co ict with any applicable Home Owners Assoaation rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting 6f this requested permit;,I do hereby agreethat I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permrt applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usesto another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your baying 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
Pcommencin work or recordingour Notice of Commencement
gnature of owner/ gent)Lessee SiWmture of Contraamr/license Holder
OF STATE OF FLORIDA SAINT LUCIE COATE OF UIW FOWDA
COUNTSAINT LUCIE
COUNTY '
The forR ing instrument anent was acknowledged before me The Toro ung instrument was acknowledged before me
tiv ay of Sc-�+. z0 L�by this b:a i13y of --r 20�'bv
JAMES W LAW .TAMES W LAW
(Name of person acknowledging) (Name of person acknowledging t
(� Notary Public-State of Florida) (Sire f�lotary Pu/bili State of Florida)
personally Known ✓ OR Produced IdenfiEication Personally Known I/ OR Produced Identification
Type of Identification Produced Type of identification ProducedJULI
-
NOTARY PUBUC � LAMr
OF F!_ORIDA
Commission No. gE 846906 Comrnission No. 'EE 846906 ARY PU3UC
- ATE STATE OF FLORIDACornet E8846901i Com
I
Expires ioaamm
Revised 07/15/2014
REVIEWS FRONT WNING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DAT1=
COMPLETE
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