HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /�2170 /—e-" Permit Number.
X, F
RECEIVED OCT 12 2D15
Building Permit Application
Planning and Development Services
Building and Cade•Regulerion Division
2300 Virginia Avenue,Fart Pierce FL 34982
Prone:(772)462-15S3 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:.
Address:
Legal Description:
- 1
Property Tax ID#: 3414--501-1701-000/9 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 at each address
CONSTRUCTION INFORMATION.
�rt[�ona wo to e e Orme under N=eckail appy:
1-1HVAC r Gas Tank _Shutters ❑Windows/Doors
nElectric Q Plumbing 05prinklers E Generator Roof
Totai Sq. Ft of Construction: SQ. Ft.of First Floor:
Cost of Construction:$/ lJde,!)- . d Utilities:0 Sewer L_J Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. name: James W Law
Address: 8000 S US#1 Suite 02 Company: _Law's Electric, Inc.
city: Port St Lude State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St Lucie State: FL,
PhoneNo. 772-878-5513 Zip Code: 34952 -Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in feesimple Title Halder 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:
DESIGNERJENGINEER: Not Applicable MORTGAGE COMPANY. s! Not Applicable
Fume: Naine-
Address: Address:
City: State: City., State:
Zip_ Phone: Zip: Phone:
PEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address_
Cly: City_
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced:priorto the issuance of a permit
St Lucie Caent�yy makes no representation that is grarning a permit v�iD authorize thedpermit holderto build the subjectstruciure
wTnidl is in Cotrdlict wrth atly applicable Home Owners Assauation ru es,bylaws oran aovenantsthatmay restrict orprohibit such
structure.Please consult wrth your Horne Owners As�ciatlon and review your deed for any restrictions whrch may aQp{y.
Inconsideration of-the granting of this requested permit,l do hereby agree that I v ll,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codesarid St Lucie County Amendments.
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 tb another non-residential use
WARNING TO OWNER:Yourfaikire 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 with lender or an attorney before
commencing work or recording your Notice of Commencement.
Matureof owner[Agent)Lessee ature of ContcactorlUcense Holder
STATE OF FWRIDA STATE OF FLORIDA SAINT LUCIE
COUNTY OF SAINT LUCIE COUNTY OF
Theforgoing instru Theforgoing instru wad dm�urledged before me
eras aclm ledged before me �
this day of, ^20 Eby this,fa day o r 20,E by
JAMES W LAW
�[AMES W LAW-p—dame of person acknowledging) (Name of person acknowledging)
(N
(Sgnatu Nola Public-State of Florida) (5gna Notary Public-Stare of Florida)
Personally Known � OR produced Identification PersonallyKnown to"" OR Produced Ident'iiication
Type of ldentfiication Produced
Type of Identification Produced r
NOTARY AUBUC dUiIET LAW
EE 846906 Commission No. -EE 845906 ARYPUSUC
commission NO. — - ATE OF FLORIDA STATE OF FLORIDA
Comm#EE8469W Cam
. Expires 10!28')2016
Revised 0711512014
0?r-OUNTER
NT ZONING SUPERVISOR PLANS VEGETATION SEATURiLE MANGROVE
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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