HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO//MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical 0
PROPOSED INPROVEMENT LOCATION*--
-
Address:
Legal Description:
Property Tax 1D#: 1301-111-0001-00015 +?L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK.:. '`--;:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional work to be performed under this perm –check all appy:
,
LIHVAC 0 Gas Tank [_]Gas Piping _Shutters Q Windows/Doors
aElectric 0 Plumbing Sprinklers. 0-Generator Roof
Total 5q.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ —5--dd,06 Utilities:0 Sewer Eleptic Building Height:
OWNERAESSEE: 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: 34,952 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 CONSTRUCnON LIEN LAW INFORMATION:
-606—NEWItWIN EER: Not App—licaHl 6' MORTGAGE COMPANY: NotApPlIcable
Name'. Narne:
Address: Address:
CRY: statin- City: _—State:_
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: _v_"Not Applicable
Name; Name:
AddrL-,s: Address:
City: City:
Ar. Phone: Zip. Phone:
I certify that no work or installation has connnencectVriorto the issuarice of a permit
le
with any applicable Home Ovuners Association rules:bylaws or and covenantsthaz may restrict or such
consult with your Hoare Owners Assoiaatlan and review your deed for any restrictions witicli may apply..
in consideration ofthe granting of this requested permit I do hereby agree tliat I uffil,in all respects,perform the work
in-accordance with the approved plans,the Rorlds Building Codes and ST_Lucie County Amendmenm
The%lowing building permit applications are exemptfrom undergoing a full concurrency roftur.room additions,
accessory structures,swirriTnirig pools,fences,waits,signs,screen reams and accessory usesth another non-residential use
WARNING TO OWNER:-YourlWilure to,Record a Notice of Commencement may result in your paying-twice for
structure..ii4e COU M
is in C
ia
which Ct
P
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 Oran attorney before
commenting work or recordingypur Notice of Commencement
sign of owner)Ag eW Lessee sIgnature of CDvitractorlUcanse Holder
STATE OF 1`1=00A STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OFAl NT LUCIE
The=folngirjfs!?y�emwacarknrnv edged re me Thefomix
ft instIzinenit was ark9awledged before me
thi20 2&j 64) -,20,69by
Of
JAMES W LAW JAMES W LAW
tiame of person admowledging) (Name of person acknomoviedging)
(Sjgnzg�_ Notary pubric--suteorFlorida j Wignatum%&otary Public-State of Florida)
personally Known OR Produced IderAffication Personally Known ✓ OR Produced Identification
Type of identification Producer'
Type of Identincation Produced' It 11,IET I AW JULIET LAW
EE 840016 6 NOTARYPUM0 commis�=No_ EE 8 906 PUBLIC
Comrnission No. OF FLORIDA
SrATE OF FLORIDA
Corrim#EESUM
Emma 1WA=to' evires lame=$
Revised(1711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGErA'11ON - SEA TURTLE MANGROVE
COUNTER
REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
OUNTER
DATE
COMPLqETE
IPIMALS
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