HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date: Permit Number: I�,^�C)
Building Permit Application
Planning and Development Services
Building and Code.RegulaVon Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical a
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 3414501-1701-000/9 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:
Mona wor o e e or ne under this permit—c ec a appy:
HVAC E]Gas Tank []Gas Piping _Shutters ❑Windows/Doors
ZElectric Plumbing Sprinklers Generator DRoof
Total Sq. Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ _� '�. e�)d Utilities: Sewer D Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: .lames 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: lawselectriclnc@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 UEN LAW 1NFORMAMON:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name-
Address: Address-
City: State: City: State:
Zip: Phone; Zip: Phone:
FEE SIMPLE TITLE HOLDER; -V—Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address-
Gty: City-
Zip: Phone: Zip: Phone:
- I
I certify that no work or installation has commencedpriorto the issuance of a permit
St Luse Counttyy makes no representation that is g�-na permitwill awhich is inordiict wrifiany appliable dome Owngaflonrules,structure.Please consult wr;h your Home Owners ion and n_view your deed for any n�sticictfons which may apply.
In consideration ofthe granting ofthis requested permit,l do hereby agree that I wiq,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 reviQw:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to 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 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
commenting work or recording our Notice of Commencement.
ature of owned genntl Lessee PEvwme of Cantractor/License bolder
STATE OF FLORIDA STATE OF SAINT LUCIE COUNTYOF SAINT WCIE-
COUNTY OF _
Thefarening instru epi as ada►owledged bgfore me The forg-cing- ntwas- lmowiedged before me
th- .4da11 of r 20,S by thi ay of 20AS-6y
JAMES W LAW JAMES W LAW
[Name of person acknowledging) (Name of person acknowledging)
(Si f Notary Public-State of Florida) (Sign re fNotary Pul/,lir-State of Florida)
personally Known OR Prodt:ced Identification Personally Known i/ OR Produced identification
Type of Identification Producesi
Type of Identification Produced -
AlOTARYPUBLIC JULIET LAW
Bf� Commission No. -EE 846906 A13Y PUBLIC
Commission No_ EE 8469OF FLORIDA STATE OF FLORIDA
Comm#EE8469W Com
".1102 Expires 10/28! is
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAMON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE _
COMPLETE
INmALs - .
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