HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r L
Date: //! ate, Permit Number:
t�
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical Q
PROPOSEb IMPROVEMENT LOCATION:
Address: J f✓' Gc�U �'"
Legal Description:
PropertyTax ID#: 1306111-0001-0001- Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Adarrionalworictopep ormed under this permit—c ec a Enapp[T-
0HVA
C Gas Tank ❑Gas Piping _Shutters E]Windows/Doors
9 Electric Plumbing OSprinklers EJ Generator F-I Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ 4 d VO, dd Utilities:0Sewer Eleptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address.- 8000 S US#1 Suite 402 Company: Lams 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: lawselectridnc@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 IJEN LAW INFORMATION:
DESIGNERjENGiNEEiI: ;f Not Applicable MORTGAGE COMPANot Applicable
Name: Naine:
Address- ' Address:
CiLY- Scity:� State:
Tip: Phone: 7r. Phone:
FEE SIMPLE TITLE HOLDER: _,Not Applicable BONDING COMPAttilt: S/Not Applicable
Name: Name:
Address: AddressL
City:
Zap: Phone: Zap: Phone-
I certifythat:nowork orinstaliation has commenced priortothe issuance ofa permit..
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suchre.Please consult w�ia your Home Otruners Asstatiatiass and review yonrdeed frsr any rs>strictions which may apply.
In consideration ofthe granting ofthis requested permit,l do hereby agree that i win,in ail respects,perform the work
in accordance with the approved.plans,the Ronda IkOding Codes and st.Lucia County Amendments.
The fd toidmS baild1ng penis applications are exemptfrom undergoing a full concurrency review:room additions.
accessory SbUCtiires<swlmmhig pv*L%1hncm vwlts,dgns,smvm rooms and accessary uses ti}another non-residential use
WARNING TO OWNEIh You rfaiiure'l o Record a Notice of Commencement may result in yo w payasgtifte for
improvements to your property-A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.Lf you intend to obtain financing,consult with lender or an attorney before
commend work or recordingaur Notice of Commencement
Mare of Owner]Agent/Lessee re of conbactorlUcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY QF SA NT LUC COiJN fY OF SAINT LUCk
Thefo mg iaist mmotwas adm ledged before me Thefureaing insist a Jmnwledged before me
JA-MES W LAW JAMES Jnr LAW
f Neuse of person admowledging} (Home of Pierson admowledgmg)'
{ gn Nota Public State of Florida} (Sign Notary Public-State of Florida I .
Personally Known OR Produced idenftcation Personally Known OR Produced Identification
Type of idenirf`ri aWn Produced Type of ldeiatifitatiosi Producers
Na rARYPUSUC duLiEl' LAW
Commission Pio. FE 946906 AiE OF FLORIDA Com m No JEE W906---e PLOD
COMMOEE84680B _rSWTA;=0F FLORMA
i 510)Z8=1S
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR FLANS VEGETATION SF.ATURTL.E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COtt1PLErE
iMMALS
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