HomeMy WebLinkAboutBuilding Permit Application ALL APPLIrAR LE INFO MUST BE COMPLETED FOR APPLICATION TO 13E ACCEPTED
Date: RECEP'71 SEP 2 8 2015 PermltNumber-
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Irtryinla Avenue,Fort Pierce Fl.34992
Phone:(772)462-1553 Fax:(Tn)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMFNT LOCATION:
Address: 9''
Legal Description:
Property Tax lD#. 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back- Right Side: Left Side:
1*DETAILED DESCRIPTION OF'WORK: '
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
L
Additionalwar Ktobengirformed under this permit—cl1eCK all t=apply:
HVAC F1 Gas Tank FGas Piping LiShutters F]Windows/Doors
Electric ri Plumbing FSprinklers OGenerator 011oof
Total Sq.Ft of Construction: S Ft of First Floor
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Cost of Construction:$ Utilities O
Sewer Septic Building Height:
OWNERILESSEE:, CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address- 8000 S US#I Suite 402 Company: Law's Electric,Inc,
City: Port St Lucia 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: lawselectriejnc@aol.com
from the Owner listed above) State or County Ucense:. ER0000122
If value of construction is$2500 or more,a RECORDED Notice of commencement is reclifted.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
�fftgl_GffE_WtN GI NEER: Hot Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name:
Address:. Address:
City: -State: C[tV_1 State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V_Not Applicable BONDING COMPANY: -V—Nbt Applicable
Name: Name:
Addr6ss: Address:
aW: may:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced-priorto the issuance of a permit
StL�cle
County
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which is n nanx applimbke Horne Owners Assoc�ahan rules,bylaws or an covenants that may restrict or prohibit such
u consult
w your Home Qwners Assocratlon and review your deed for arty restrictions which may aPPIY-
in consideration ofthe granting of this requested permit,I do hereby agreathat I Will,in all respects:perform the work
in accordance with the approved plans,the Florida Wilding Codes and St.Lucke County Amendments.
The following building permit applications are exempt1rom undergoing a full concurrency review:room additions,
accessory structures.swimming pooIs,fences,walls,signs,screen roams and accessary uses to another non-residential use
WARNING TO OWNEM Your(allure to Record a Notice of Comrnencernent 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 with lender or an attorney before
commencing work Ihor recording your Notice of Commencement.
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s�ature of owner/Agentl Lessee %nature of contractorAicense Holder
STATE OF FLORIDA 7 STATE OF FLORIDA
'COUNWO COUNTYOF SAINT LUCIE,
The forgoing instrumentwa ore me
The-h-cm3ing instrurrantwas acknowledged before me -5 acknowledged before
blisolxd;;y Of 1,5e this .day of 15!fl 2U/-:5'by
JAMES W LAW
_jA_MES W LAW
(Name of parson acknowledging) (Name of person acknowledging)"
(SignatuO&Notary-Public-State of Florida)
(SjV-M-fih'0 t4ot-aYy Public-State of Florida
Pqrsonally Known OR Produced Identification Personally Known VOR Produced Identification
Type of Identification Produced 011 IET I AW Type of Identification Produces'
- JULIET LAW
EE 84690
NOTARY PUBLIC Commission wo. 'EE 846906 PUBLIC
Commission No- OF FLORA STATE OF FLOPMA
Comm#EES46M M_
Expires IQM&2016
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE oMPLETE
I
INITIALS
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