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)452-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address.• 46
Legal Description:
PropertyTax ID##: 1304111-0001-0001- 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:
Mona wo to e e Orme un er is permit- e a appy:
HVAC 13 Gas Tank E]Gas Piping _Shutters Q Windows/Doors
Electric L_! Plumbing Sprinklers 01 Generator 1-3 Roof
Total Sq.Ft of Construction: So.Ft of First Floor:
Cost of Construction:$ BOO , DZ5 Utilities:0 Sewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electrir, Inc.
City: Port St.Lucie State:FL Address: 218 Beach Avenue
Zip Code: '44952 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(1f different E-Mail: lawselectdclnc@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 rs required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
bEStGNERjENgNEER: :/ Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Narne:
Address: Address:
Crtw. State: Cw. State-
Zip: Phone: Zip: Phone:
FEE SIMPLETITLE HOLDER: V Not Applicable BONDING COMPANY: _%/,Not Applicable
Name: Name:
Address: Address:
Zip: Phone: Phone:
I cerlKythat no work or installation has commenced priorto the issuance of a permit
St Lude Co�y�makes no representation that is gmTb'ngs pW.Mitwiit avthortm the pernnit holdertts build the subject structure
which is in co ict with any applicable Home Owners Assoc�on rules,byiavas or and cOven=U that may restrict or probilAt stark
structure.Please consult with your Home Owners Assocladon and reviewyourdeed for any restr fictions which may apply.
in consideration ofthe granting of this requested Perm%I do hereby agcea that I wM,in all respects,perform the work
in acturdantevft tate approved plans,the Florida Building Codesend St.lode County Amendments.
Ttielbllowing buildtmg germit applicadons are exemptfrorn underSaing a full concumertcy review:room additrlousy
accessory structures,stnimming pools fence-%walls,signs,screen rooms and accessory usesto another non-resider ial use
WARNING TO OWNER:Yourfaikire to Renard a Notice of Commencement may result in your payMgtw1Ce for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.tf you intend to obtain financing,Consult with lender or an attorney before
commencing work or recording our Notice of Commencemeirt.
0 .0 el.",
S re of Ownwl AomV Lite Striature of Corrmactor1l icense Bolder
STATE OF FLORIDA - STATE OF FLORIDA
COUN3'1t OF SAINT LUCIE COUNTY OF SAINT LUCIE
lixeforgoirrg fist rrtvrac arum uledgnd me Theforea tginstrcrr4e was ac awtedged before me
� ��:?-a��� t#its;, daY f_--fit; ...Zfl '6Y .
-JADAES W LAITY JAMES W LAW
Game of person admowledging) (Name of person ac itnowledging)
(Si Notary Pubk-State of Florida) (Signature Pr bft-State of Florida
Personally Knawrt V/" OR Produced Identification Personaliy Known V"' OR Produced IdenttTicagan
Type cf Identification ProducedIEE I AWType of IderitMcatiop Producer[
NOTARY trtlt3tiC JULIET WW
Comtrtission No_ EE 8"906 AA OF UBUCFLORIt?A Commission No_ -EE 846906 AF y PUBLIC
. �� STATE OFFLOWDA
ti Expires 1012812016
Revised 47/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REtll>:W REVIEW REVIEW
DATE
COMPLETE
liNfT1AlS
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