HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date Permit Number: I (, ()0
RECEIVED
Building Permit Application FEB 0 3:2016
Planning and Development Services
Building and Code Regulation.Divislon PERrOITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL -
Phone:(772}452-1553 Fax: (772)452-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATIONz
Address•
Legal Description:
Property Tax ID##: 1301-111-0001-00015 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
rDEAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
AC10itional work to be erformed under this —checkpermit a apply:
FIVAC Gas Tank Gas Piping _Shutters aWindows/Doors
Electric I�Plumbing 05prinklers 01 Generator C Roof
Total Sq.Ft of Construction: 5 .Ft.of First Floor:
Cost of Construction:$ �f>D• 06 tltilities: Sewer O5eptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Laves 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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
I]ESIGNERjE;NG1NEER: :/ Not Applicable MORTGAGE COMPANY: Not Applicable
Name- 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:
Zip: Phone- Zip: Phone-
i certify that no work or installation has commenced•priorto the issuance of permit.
St Lucie County makes no representation that is granting aperwill authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that Wray 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 permit I do hereby agree that t will,in all respects,perform the worts
in accordance with the approved plans,the Florida Building Cosies 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 OWNEEL,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 recording our Notice of Commencement.
gg-Ature of Owner/Agent/Lessee nature of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA
CDUNTIF OF SAINT WCIE COUNTY OF SAINT LUCIE_
TheforPoing instrum ntwas ar8r muledged before me The forgoing instrum n was actrnnwiedged before me
this day of 20,?, by this„� day of 20f �y
.,JAMES W LAVA JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging) '
(Sgnature Notary Public-State of Florida) {Sgna re f Notary Public-State of Florida)
Personally Known V""' OR Produced Identification Personally Known OR Produced Identfication
Type of Identification Produced Type of identification Produced
NOTARY PUBLK;
JULIET LAW
I:E 846906 Commission No. EE 846906 d JiJFARY PUBLIC
Commission No- --- ATE OF FLORIDA
STATE OF FLORIDA
. Comm#EES46906
i Expires 101=016
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SFA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INlTiALS .
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