HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: l �A4, Permit Number:
� (Do i 5
S
RECEWED
•
Building Permit Application JAN , 3 2016
Planning and Development Services PERNUTTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553. Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address
Legal Description:
PropertyTaxlD#: 130111-0001-000/6 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK,.,'.f .
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional war tobe nertormed under tis permit—check all t=appy:
HVAC 0 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
R]Electric ID Plumbing RSprinklers 1:1 Generator Roof
Total Sq.Ft of Construction: S .Ft. of First Floor.
Cost of Construction:$ Utilities:
Sewer[ Septic Building Height:
OWN ER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc.
City: Port SL Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St Lucie State: FL
Phone No. 772-878-5513 Zip Cade: 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$7500 or more,a RECORDED Notice of Commencement is required.
9'd -8921-699-699 Lt££8LKZ LMV� e0b:80 91• £6 ular
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DFSIGNEIijENGINEER: ✓' Not Applicable - MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
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:
pity: city:
Zip: Phone- Zip- Phone:
I certify that no work ar installation has commenoed•priorto the issuance ora permit.
Sit.Lucie County makes no representation that is granting a permit will autborize 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 proMbitsuch
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe granting ofthis requested permit,l do hereby agree that I will,in all respects,perform the work
in accordance wrth the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structuress 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 Commencernent may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobs-ite
before the-first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Sag tune of owner/Agent/Lessee Siffnature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT I.UCIE.
The forgoing instrumpritwas acknowledged before me The forgoing instrument was aekrk-wiedged before me
this—day of 20-?,�by this Z,.Z_day of 26/,,A'by
ttAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)'
(Signature Notary Public-State of Florida) (SignaruiNf Notary Public-State of Florida)
personally Known OR Produced Identification Personally Known i/ OR Produced Identification
Type of Identification Produced 11 JET I AW Type of Identification Producers
JUUEr LAWNOTARY PUBLIC
IrE 846906 Commission No_ EE 546906 ARY Pt1BLIC
Commission No- —-- ATE OF FLORIDA STATE OF FLORIDA
Cem"EE846906
Expires 10/2612016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
1NITiALS
9•d -8926-699-699 Lt1££8LKLLMVe6t,:20 96 U Uel