HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a-a'au.,� :�'�/.S- J Permit Number:
RECEIV'-:D SEP 141015
Building Permit Application
Plannfng and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort,Pierce Ft 34982
Phone:(772)462-1553 Fax(772}462 2578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: lz;?, .4'), '5/6'
Legal Description:
Property Tax ID#: 341M501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
DETAILED CiESCRIPTION.017 WORK:
Replace meter center with a combo pack at each address
I-CONSTRUCTION INFORMATION.
A0ditional work to be performed under this permit-
O6asTank rmit-check all tbat—appy:
L -1 EINArindows/Doors
]HVAC 06as Piping Shutters F
PlElectric Plumbing F ]Sprinklers 1:1 Generator D-Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ o I-) U.tillties:r�Sewer OSeptic Building Height:
OWNER/LESSEE: .,CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#I Suite 402
Company.- Laws 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@aot.com
from the owner listed above) State or County License: ER0000122
H value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: :/ loot Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Natne-
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.-
zlp-- Phone: Zip: Phone:
I certify that no work or installation has commenced•prior to the issuance of a permit.
St.Lucie Countty�r makes no representation that is granting a permit will authorize the pernut holder to build the subject structure
which is in coNiictwrth an�yy applicable Home Owners Association Hiles,bylaws or and covenantsthat may restrict or prohibit sueh
structure.Please consult wA your Home Owners Association and review your deed for arty restrictions which may apply.
in congideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordancewlth'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,wall%signs,screen morns and accessory uses to another non-residential use
WARNING TO OWNER:Yourfailure to Record a Notice of Cornrnencement may result in your paying twice for
improvements to your property_A Nonce 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 recordin your Notice of Commencement.
S" ature of Owner/Agentl Lessee ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
Thefn , inginstiurr=twas acknowledged before me The fargaing instrument was acknowledged before me
this/r. day of— . e.�4 20 Z::'by this day of �?� ,20�by
1AMES W LAVA JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)'
(Signa f NOR Public-State of Florida) (Srgnatu Wallotary Public State of Florida}
Personally Known V/ OR Produced Identification Personally Known V OR Produced Identification
of Identification Produced Type of identification Produce
NOTARY PUBLIC - JULIET LAW
c
ommission No, EE 846906 Commission No. .'EE 846906 ARY PUBLIC
— -- p►TE OF FLORIDA STATE OF FLORIDA
Commit:EES46908 Com
7115/2014
LFRONTZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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