HomeMy WebLinkAboutBuilding Permit Application ALLAPPU4;ABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I'(
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Date'Li o?O/Sr Permit Number:
• ON RECEIVED
Building Permit Application NOV 18 2015
Planning and Development Services
Building and Code ReguWion Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPQ3 ilKfP:tVEl1�#ENT'LII..CArTIO1V
Address: -7 r, 4
Legal Description:
PropertyTax ID#: 1304-111-0009-000!5 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
L L ' L I i RtP ION.-Qf':1f1141�1
- bs..}
Replace meter center with a combo pack:ezie-,o J
CONSTRUCTION.JN><ORN#4'F tom:
Additional work toe nertormed under tis permit—ch ec a appy:
HVAC Gas Tank ®Gas Piping _Shutters ❑Windows/Doors
R1Electric 0 Plumbing Sprinklers En Generator a Roof
Total Sq.Ft of Construction:. - Sq.Ft.of First Floor.
Cost of Construction:$ / i 0f� Utilities: Sewer E5eptic Building Height:
01l�INEI(LESSEE: . .
CONTRACTOR-
Name Wynne Building Corp. Name: James VV 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!sage(if different E-Mail: lawselectricinc@aoi.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 LAUD INFORMATION:
D01-6 Veli/ENGINEER: / Not Applicable - MORTGAGE COMPANY: %/ 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:
aty: OXY=
Zip: Phone- Zip: Phone:
I certify that no work or installation has commenced-9 or to the issuance of a permit.
5t.Lucie Counttyy makes no representation that is granting a permitwiil authorize the permit holder to build the subject structure
which is in conflictwiih any applicable Home Owners Association rules,bylaws orand covenants that may restrict or prohibit such
swwwre.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requested pent,I do hereby agreethat l 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 permit applications are exemptfrom 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 OW NER: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 recotdinn your Notice of Commencement
' ature of Owner)Agent/Lessee ature of Contractor/License Bolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT WCIE COUNTY OF SAINT LUCIE
The f--ming instru t Was arknawledged before me The forePing instniment was acknowledged before me
this f,�3aYs�f.
,to,, 20 Z:CbY this /?day 20Z_r by
,JAMES W LAW JAMES W LAW
[Name of person acknowledging) (Name of person acknowledging) '
ISgna , Nota Public-State of Florida) (Sgnatu Notary Public-State of Florida)
Personally Known OR Produced identification Personally Known OR Produced Identifiication
Type of Identification Produced 1111 IET I WX Type of Identifikation Produced;&STATEOFFLORMA�&;ATE
ARY PUBLIC
JULIET LAW
Commission No.^EE 846966 OF FLORIDA Commission No. EE 845906ARY PUBLIC
- nW EE646908
Com
Expires 10MMD16
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
LirdrnALS
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