HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
Sm
RECEIV0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
Address:— 72Y
Legal Description:
Property Tax lD#: 1306111-0001-000),0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace meter center with a combo paUKV_61s_ws_hmd6
FWAUE�� Now WWI
AciditlonalworKT009-orrormed unuer this permit–check all that apply:
UHVAC Gas Tank DGas Piping nShutters Windows/Doors
gElectric 0 Plumbing ESprinklers LJGeneratorRoof
Total Sq.Ft of Construction: S . of First Floor:
Cost of Construction:$ '6190, d>0 Utilities-11 Sewer FiSeptic Building Height:
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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 an next page(if different E-Mail: lawselectricincQaal.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:
-QESIGNERIENGIN EER: Not Applicable MORTGAGE COMPANY: �J Not Applicable
Name: Narne:
Address: Address:
City: State: City. State:
Zip: Phone: Zip: -Phone:
FEESIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: --se—/Not Applicable
Name: Name:
Address: Address:
Zip City: Phone: Zip: Phone:
I certifythat no work orinstallation has commenced1priortothe issuance of permit.
5t Lucie Connty makes no representation that is granting a permit will authorize the dpermit holder to build the subject structure
wbich is in conflict with any applicable home Owners Association rules,bylaws or an covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in consideration ofthe granting ofthis requested permit,I do hereby agree that:I Milli,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 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: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
commencing work or recording our Notice of Commencement.
afore of owner/Agent/Lessee re of ContractorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUIM OF SAINT LUCIE COUNW OF SAINT LUCIE
Theftping instrument s acknowledged Wore me -rhe forgoing instrument was acknowledged befare me
this a,Y day of^ . . 2014 by tMslt day of
1AMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary Public-State of Florida I (Signature of Notary Public-State of Florida)
Personally Known OR Produced Idenl-ficatlon Personally Known 1/ OR Produced Identification
Type of Identification ProducedET r nor Type of Identification Produced
ARY PUBLIC DET LAW
Commission No. EE 8469664j�:ATE Commission No. E£846905 ARY PUBLIC
— - of FLORIDA
ma!EE846906 STATE OF FLORIDA
Cam
EWAW 10128/2016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
L'INM�ALS
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