HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date' Permit Number:
1
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical El
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
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.
Additional work ton6asTank
rme un er t is perm —c ec a appy:
HVAC ❑Gas Piping OGenerator
Shutters Windows/Doors
Electric M Plumbing Sprinklers a Roof
Total Sq.Ft of Construction: S USeweroSeptic
Ftof First Floor:
Cost of Construction:$/ D`7j(7.1 d Utilities: Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: James W Law
Address: 8000 S US#1 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: lawselechicinc@ao[.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:
DE5IG�1lERJENGINEER: V Not Applicable - MORTGAGE COMPANY: ✓ Not Applicable
Name: Naine-
Address: Address:
City: State: city: State:
Zip: Phone: Zip: Phone:
FEESIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
QW: City:
Zip: Phone- Zip: Phone-
I certify that no work or installation has commencedpriorto the issuance of a permit.
st.Lucie County makes no representation that is gmntmg a permit will authorize the�errr t holder to build the subject structure
which is in contlictwrth any applicable Home Owners Association rules,bylaws or an covenants that may restrict or prohihitsuch
th
structure.Please consult u your Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit,I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and 5t.Lucie County Amendments.
The following building permik applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,wafts,signs,screen rooms and accessory uses tb another non-residential use
WARNING TO OWNER:Your failureto Record a Notice of Commencement may result:in your paying tvuice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobs-rte
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencim work or recording your Notice of Commencement
S" ature of Owner)Agent)1 Lessee
ature of Contractor/License,Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT WCIE COUNTY OF SAINT WCIE
The• ,31 instru t arknowledged before me
_ The foeo'ing insr ; ovn
acknowledged before
re me
20 by 20Z.::rby
th day of
JgMES W LAW .ZANIES W LAW
(Name of person acknowledging)
of person acknowledging)'
(Sign-TN otff Public-state of Florida] (Slgnatu Notary Pubric-State of Ftorida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
1- ti:STATE
dUL1Er LAW
EE846906 NOTARY PLMLIC CommissionNo. EE 846906 ARYPUBLIC
Commission No. — ATE OF FLORIDA C FLORtEMComm#EE846M
Expines 10MM016
Revised 07115!2014
REVIEWS ONT ZONING COUNTER REVIEW REVIEW
REVIEW REV!PERVISOR EW VEGETATION REVIEW 5 REVIEW- MANGROVE
DATE .
COMPLETE
INrnALS
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