HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLEINFO/MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �t, Permit Number:
..� 11 RECEIVED NOV 04'1015
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 El
PROPOSED CNPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID#: 1301-111-0001-00015 `L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DEFiLEDFSCRlPT10N OF:
Replace meter center with a combo pack at each address
CONSTRUCTION INFoRMA'.IGN':
trona wor to e e Orme under tis permit-c ec a11 appy:
HVAC Gas Tank F]Gas Piping _Shutters Windows/Doors
gElectric 0 Plumbing Sprinklers FIGenerator Roof
Total Sq. Ft of Construction: Sq-Ft.of First Floor:
Cost of Construction:$ /� a�� Oc) Utilities:�Sewer Septic Building Height:
OWNER/.ES-SE CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's 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: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
If value of construction is$25[10 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIG—NE E%ENGINEER: :/ Not Applicable MORTGAGE COMPANY: -.NZ Not Applicable
Name: Name:
Address: Address:
City: State- City- State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TME HOLDER: _L/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address-
City: City:
Trp: Phone: Zip: Phone-
I certify that no work or installation has commenced-prior to the issuance of a permit.
St Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
Which is in conflictwith any applicable Home Owners AssoraaOon rules,bylaws or and covenants that may restrict ar prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration afthe granting ofthis requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance withthe 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 to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your payingtuvice 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 tender or an attorney before
commencing work or recordipA your Notice of Commencement
attire of owner/Agent/Lessee Sidhattire of Contractor/License Holder
STATE OF F10R1DA SAINT LUCIE RUCATE OF OUNTY
NTY O SAINT LUCIE
COUNTY OF
'fheforgoing irstr mentw�s acknowledged beeffoore me The fo oing in mentwas acknowledged before me
this_ ay of 24,ISbF this-� 'day of 20/.Shy
.1A-MES w LAW JAMES w LAW
(Name of person acknowledging) (Name of person acknowledging) '
(Signature of Notary Public-State of Florida) (.5goature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known V' OR Produced Identfication
Type of Identification Produced Type of identification Produced M- L
NOTARY PUBLIC JULIET LAW
Commission No. EE 846966 ATH OF FLORIDA Commission No. EE 846906YPUBLICComm#EES469DBOF FLORIDA
Expires 10/M016
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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