HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
Date: G � �. �� Permit Number:
*•*■• RECEIVE
Building Permit Application NOV 18 2015
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)452-5553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical El
Address: 02
Legal Description:
PropertyTax ID#: 1306.111-0001-0001 �_ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
tT+.. µ,:
.s an+;fit..
Replace teeter center with a combo packsabsaWmadAms
Additionalworkto e e Orme un er t is permit-ca ec a appy:
�H1lAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator DoRoof
Total Sq.Ft of Construction:: Sq. Ft. of First Floor.
Cost of Construction:$ �7 ®�+ dd UtilitiesSewer Septic Building Height:
8
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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. 772-9714512
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$2500 or more,a RECORDED Notice of Commencement is required.
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FUPPLEMENTAL CONSTRUCTION LIEN LAW 1NFORMAT10N:
DE9IGNERIENGINEER: V Not Applicable MORTGAGE COMPANY:. V Not Applicable
Nance- Naine-
Address: Address:
City: State: City: State:
Zip: Phone- Zip: Phone:
FEE SIMPLE TITLE HOLDER: L/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name-
Address• Address:
City. City:
Tip: Phone- Zip: Phone:
I certify that no work or installation has commenced:priorto the issuance of a permit.
St Lucie County makes no repr sentatior that isgrarrting a permitwill authorize thegermit holder to build the subjectstructure
which is in conflict with ary appricable Home Owners Association ruled 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 of this requested penri t,I do hereby agree that I will,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 to another non-residential use
WARNING TO OWNER:Yourfatlure to Record a Notice of Commencement may result in your paying twoce 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 obtatn financing,consult%difth lender or an attorney before
commencing work or recording ur Notice of Commencement.
Al
S- afore of owner!Ab'eml Lessee ature of ContractorfLicense Holder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY Of SAINT LUCIE COUNTY OF SAINT I.UCIE
The{r-wainginstrurA ntvmade owledgedbeforeme The famoinginstn=mentwasacknowledged before me
_-20- :Cby thikzy-lav of - 2.• -20z,.-rby
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)'
(Sign f LpNjot�a �Publric-State of Florida) (Srgnatu Notary Pubbric-State of Florida)
Personally Known V/ OR Produced Identffication Personally Known 1/ OR Produced Identification
Type of identification produced Type of Identification Produced
NOTARYPUBLIC JULIET LAW
EE 846906 Commission No_ EE 84.6906 ARYPUBUC
Commission No__ — - ATE OF FLORIDA STATE OF FLOMOA
Comm#EE8469i1f1
Expires 1WZ8l2016
Revised 0711512414
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
114M LS
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