HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICKHON TO BE ACCEPTED
Date: ' -� 1(o Pr Number: 11a G�—d 1 C
V._ . a_. RECEN-0 APR 1-T
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia avenue,Fort Pierce FL 34982
-Phone:(772]462-]553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEME_N_TLOCATION:
Address: 4
Legal Description:
PropertyTax ID#• 3414-501-1701-000/9 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAfLED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Addroonal work o flasTank
rme un ert is perm —c ec a appy.
HVAC DGas Piping _Shutters ❑1Mndows/Doors
EElectric M Plumbing Sprinklers a Generator O Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$_ 444 a ri Utilities. Sewer Septic 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:F- 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 paged if different E-Mail: lawselectricinc@aoLcom
from the Owner listed above) State or County License: ER0000122
!f value of construction is$7300 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
5101GNERj2ffG1NE1-fit: :J NotApplicable MORTGAGE COMPANY: ✓Not Applicable
Name- Nalne-
Address- Address-
Crty: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TIT HOLDER: Not Applicable BONDING COMPANY: Not Appricable
Name: Name:
Address: Address:
�p Phone: Tp: Phone:
1 certify that no work or installation has commenced-pdortiotheissuance of permit
St Lucie County mattes no representation that Is granting apermit will authorize the permit holderto build the subjectstructure
which Is in conflict-with any applicable Home owners Association rules;bylaws or an covenants that may restrict orprohibit such
structum Please consultwrth yaw Home Owners Association and review yourdeedforany restrictions which may apply_
in consideration ofthe granting ofthis requested permit;I do hereby agree that I will,in all respects,perform the work
in accordance v&h the approved plans,the Florida Building Codes and St Lude County Amendments.
The follovvmg building perm applications are exemptfrom undergoing a full concurrency reidp r room addidons,
accessary structures,swimming pools;fences,waft signs,screen rooms and ac essory uses tb another non-residential use
WARNING TO OWNM YotErfallureto Record a Notice of Commencement may result in your paying trice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobslte
before the first inspection.if you intend to obtain financing,consult with lender or an attorney before .
commemdm work or recording our Notice of Commencement.
Signa re of Owner/AgeW Lessee sIgnature of ContracmrP icense Bolder
STATE OF FLOR16A N I, �V OF�PJDA SAINT LUCIE
tOUhi�1f OF
The forwo,1-ng instru int vva<s 2r,kn� �re me a L� rn was acrcnowied� a me
o
JAMES W LAW .TAMES W LAW
(Name Of person acknowledging) (Mame of person acknowledging)"
tS Notary Public-State of Florida) ts�reotomy Public-State of Florida 1
Personany Known � OR Produced Identification Personally Known � OR Produced Identification
Type of tdentifFcation Produced Type of Identification Producer!
NOTARYPUBUC _ JULdET LAW
EE 845906 Comm don No. EE 545906 ARY PUBLIC
m
Comission No_ - ATE OF FLORIDA STATE OF FLORIDA
Cornet#EE&16M
i Expires 1012 MIS
Revjsed 07!1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION • SEA TURTLE MANGROVE
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DATE
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INITIALS
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