HomeMy WebLinkAboutRevisions ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
;Ll(o-�-,�� - - - - Permit Number: VR:-_0 o�
• RECEIVED DEC 16 Y?EVISION Building Permit Applic
Planning and DevelopmentServices
Building and Code Regulation Division t`
2300 Virginia Avenue,Fort Pierce Fl.34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical -j
-PROPOSED-.IMPROVEMENT LOCATION:, ;
Address: Q,O
Legal Description:
PropertyTax IDS#: 1301-111-0001-000/5 ?L. Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.INORK
Replace meter center with a combo pac
CONSTRUCTION-INFORMATION
Additional work to be performed under tis permit—checka appy:
❑HVAC Gas Tank F]Gas Piping _Shutters ❑Windows/Doors
Electric ❑Plumbing []Sprinklers ❑Generator ❑Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 7� ,? e Utilities:RSewer❑Septic Building Height:
-OWNER/LESSEE: " .. . 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$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
.-.D�S1G1'�IERJEP3GlNEER: :/ NotAhcable
pP i -MORTGAGE-COMPANY':_-. s! Not Applicable _
- - -
Name: Name:
Address: Address:
City- State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: „ Not Applicable
Name: Name:
Address: Address-
Clty: City:
Zip: Phone- Zip: Phone-
I certify that no work or installation has commencedpriorto the issuance of a permit
St.Lude County makes no representation that is granting a permitwill authorize the permit holder to build the subject structure
which is in conflict with any applicable Home owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Assodation and review your deed for any restrictions which may apply.
In consideration ofthe granting ofthis requested permit,I do hereby agree that I 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 exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,wails,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 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 tender or an attorney before
commencing work or recording our Notice of Commencement.
S�atrr�of owner/Agenttl Lessee 09nature of Contractor/License Holder
STATE OF FLORIDA STATE OF SAINT-WCIE COUNTY 01 FLORIDA_ SAINT WCIE
COUN'IV OF -
me fnro -ng mstrurfr �11�0 owledged before me The fora Ing ingti time acknowledged before me
�u/ Jda
y _20 by thisJ/ 3ay of _ 4 '� .20[,gby
_lAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)'
- w
(sigma f Notary Public-State of Florida) (signature Notary Public-State of Florida)
Personally Known V/ OR Produced Identification Personally Known 1/'*' OR Produced Identification
Type of Identification Produced Type of Identification Produced
JULIET LAW
NOTARY PUBLIC
EE 84690E _ Commission No_ EE 846906 a d11mJlARYPUEILIC
Commission No- —- ATE OF FLORIDA STATE OF FLORIDA
Comm#EE846906 Com
tq� Expires 10/28/201(
Revised 07115/2014
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