HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
'Fly
Date: Permit Number:-I-t) 2-5
lk
76A1II
RECEIVED
Building Permit Application NOV 16 2015
Phinning and Development Services
Building and CodeAegulatfian Division
2300 Virginia Avenue,Fort Pierce FL 34582
Phone.(772)462-1553 Fax.(772)462-1578 Commercial Residential X-
PERMITAPPUCATION FOR: Electrical
-PROPOSED IN PROVEMENT LOCATION: ,
Address:
Legal Description:
Property Tax I D#.- 3414-501-1701-000/9 Lot oto.
SitePlan Name: Bfock No.
Project Name:
Setbacks Front_ [lack: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
COIUSTRt�CTION INFORMATION:
Addrtional-w-owk-tobaDerforined unaer 1!=eck all that apply:
FIHVAC Gas Tank ElShutters Windows/Doors
P/lEfectric Plumbing E]Sprinklers Generator EIRoof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ o_o"122:2- 00 Utilities:05ewer[]Septic 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 111tie Holder on next page(if different E-Mail: lawsolectricinc@aol.com
from the Owner listed abo4e) State or County License: ER0000122
if value of construction is$2500 or more,a RECORDED Notice of Commencement Is required.
L-d -99z6-1.99-699 Lt,009L2ZLLMVl uZ9:66 91, 91, AON
SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DE.SlGNER1ENGIN EER. V NotApplicabie - MORTGAGE COMPANY: ,/ Not Applicable �
Name: Naive:
Address: Address:
Crty: State: City: .-State:
Zip: Phone- Zip: Phone:
FEE SIMPLE TITLE HOLDER: _I/ Not Applicable BONDING COMPANY Not Applicable
Mame: Dame:
Address: Address:
city: City:
Zip: -Phone: Zip: Phone:
- I
• i
I certify that no work or installation has commenced•priorto the issuance of a penTdL
St.Lude County makes no representation that is grantiing a perm twill author izethe rm tbolderto build the subject structure
which is in co ictwith applicable Home Owners Association rules,bylaws or andccovenanis that may restrict or prohibi%such
structure.Please consult a%
your Home Owners Association and review your deed for any restrictions wh[ch may apply.
In consideration ofthe granting of this requested permit,I do hereby agree that 1 w-sll,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,fence%walls,signs,screen rooms and accessory usesto another non-residential use
WARNING TO OWNEII;:Yourfaiiure'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 onthe jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work orrecording our Notice of Commencement.
gnature of Owner! gentJLessee Ygature of ContractarIllcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT WCII
The fireaing instruvRestvMsadmowledged bpfo re me The farar+ing instrvol-ontwas gcknovAedged before me
this ay of f 20 ZSby thi ay of � .Z{l by
,,DAMES W LAW JAMES W LAW
(Name-of person acknowledging) (Name of person acknowledging)
(S f Notary Public-State of Florida) (Signsrure f Notary Public-State of Florida
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Producer! Type of Identification Produced
ITE 846906 NOTARY PUBLIC JULIET LAW
commisssion No- —_ ATE OF FL�DA Commission No- JEE 546906 - ARY PUBLIC
Commlf EE64B908 STATE OF FLORIDA
Com
1 Expires 10/28/2076
Revised 07115/2014
F
FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTI.E 1V1P►iNGROVE
COUNTER REVIEW RE1/1EW REVIEW REVIEW R3=111EtN RE1lIEW
Z•d -8926-699-699 Lt6C8L8ZLLMv9 aZ9:66 96 96 AoN