HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVE-El SEP 02 2015
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34952
Phone:(772)462-1553. Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical D
PROPOSED INPROVEMENT LOCATION:
Address:_ 14,3s04, d �P�J?C!J
Legal Description:
Property Tax ID#: 130t9-11'1-0001-000b0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK,..'_, :-
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Aid d rtrona I work to MGas,Tank
orme un ert ispermit—c ec a appy:
HVAC E]Gas Piping _Shutters �Windows/Doors
QElectric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ a,ay Utilities. Sewer Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric,Inc.
City: Fort 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 INFORMATION:
pEStGi1iERJENGIN EER: ;/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Naine:
Address: Address:
City: State: city: State:
Zip: Phone: Zip: Phone:
---
FEE SIMPLE TITLE HOLDER: t/ Not Applicable BONDING COMPANY: Not Applicable
Name, Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commencedV13rilor to the issuance of a permit
St Lucie County makes no representation that is grantinga permitwill authorizethe ermiC holderto build the subject structure
which is in conflict with as�y applicable biome Owners Assouatlon rules,bylaws or an�covenants that may restrict or prohibit such
structure.Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that 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 permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses tt►another non-residential use
WARNING TO OWNER:Your failure'to Record a Notice of Commencement may result in your paying twice for
improvements to your property_A Notice of Commencement muss: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"' afore of ownerl Agent/Lessee nature of Contractor/License H older
STATE OF FLORIDA STATIE OF SAINT LUCIE COUNTY OF.OR1DA
COUNTY OF SAINT LUCIE
The forgoing instrumArrtwas-acknowledged before me The forgoing instrument was adcnowledgedbefore me
this_a_day of_ 5;? �f . 20,�bq this�� day of� '��o - .20,E by
_jA_MES W LAW JAMES W LAIN
(Name of person acknowledging) (Name of person acknowledging)"
(5;gna ' Nota Public-State of Florida] (Sgnatu Notary Public-State of Florida)
Personally Knowny OR Produced identification Personally Known V"' OR Produced Identification
'type of Identification Produced Type of Identification Produce
NOTARY PUBLIC ULIET LAW
Commission No- EE 846966 _ Commission No. EE 845906S:SST;ATE
ARY PUBLIC
'Cn<ix� ���FLORIDA OF FLORIDA
�res IOQ&2ofe
Revised 47/15/2014
L
S FROM ZONING SUPERVISOR PLAINS VEGEf'A-nON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ETE
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