HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCCABLEINFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���� Permit Number.
RECEIVED
Building Permit Application FEB 0 3 2016
Planning and Development Services PERF,41TTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)452-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PR0 4 'ROVE IM Etti1.. ,00AT1Ohi
Address: o
Legal Description:
Property Tax ID#: 1301-111-0001-0005 L L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
01= 'AD::# SCiI#?T� N:.(71!O
Replace meter center with a combo pa
CQN-s-T { CT1ON I NF.ORNI IT1
Acklitional work toe e orme under tis permit—c ec a appy:
HVAC F]Gas Tank Gas Piping _Shutters Windows/Doors
ZElectric 0 Plumbing [:]SprinklersE Generator F]Roof
Total Sq. Ft of Construction: SCI.Ft.of First Floor:
Cost of Construction:$ � pr.J Utilities:OSewer Septic Building Height:
OWN_Ei LESSEE CO:N7t;4CTOR;
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US 41 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
Fell 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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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERjENG1NEER: :! Not Applicable MORTGAGE COMPANY: ✓Not Applicable
Name• Narne:
Address: Address:
CtT: State: City_ State:
lip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: t/ Not Applicable BONDING COMPANY: —V_»ot Applicable
Name: Name:
Address: Address:
City: City:
zip-- Phone: Zip: Phone-
I certify that no work orinstallation has cornmenced priorto the issuance of a permit-
St
ermitSt Lucie Cou Atv makes no representation that is granting a permitwill authorize the permit holder to build the subjectstructure
which is in comFlict with any applicable Home Owners Assodation rales,bylaws or and covenants that may restrict or probiit such
structure.Please consult with your Nome Owners Association and review yourdeed for any restrictions which may apply.
In consideration of the granting ofAVs requested permit,l do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and Sr.Lucie County Amendments.
The following building pera t applications are exempt from undergoing a hill concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yourfailure 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
commenting work or recording ur Notice of Commencement
Fgna re of owner/Agent LessS ee gnature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNT{OF SAINT LUCIE COUNTY OF SAINT LUCIE
The-forgo instrumentwac arknmjvledged b rE me The fnreoing instru pnt nras acknowledged before me
this, oda of u20 y tis> day of 20_&a'by
-jA-IWES W LAW JAMES W LAW
(Name of person aclrnowledgrng) (Name of person acknowledging)'
(Sg f Notary Public-State of Florida) (Signature otaryPubiic--State of Florida)
Personally Known OR Produced Identification Personally Known V-11 OR Produced Identification
Type of Identdicition Produced LSI �Vy Type of Identification Producer; JULFEr LAW
Commission No. EE 846906 _ NOq FLORIDA Commission No. EE 545906 AWARY PUBLIC
Contra#EE846WSSTATE of FLORIDA
Com
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Revised 0711512414
REVIEWS FRONT ZONING SUPERVISOR PLANS - VEGETATION SF.ATURTL E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -,
COMPLETE
L
ALS
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