HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: D Permit Number_A —Cj -a 115
RECEIVED APR 112016 •
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Dhr)slon
2300 Virginia Avenue,Forr Pierre FL 34982
Phone:(7721462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical 0
PROPOSED 1NPROVEMENT LOCATION:
-01
Address:
Legal Description:
Property Tax ID#: 3414^501-1701-000/9 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 at each address
CONSTRUCTION INFORMATION:
Additional work,to nGasTank
rme un er t is perm —c ec a a appy:
EjHVAC ❑Gas Piping Shutters Windows/Doors
R]Electric EiPlumbing _Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft,of First Floor.
Cost of Construction:$ '4 div e 0 e Utilities1 LJ Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: James W Law
Address: 8000 S US#i Suite 402 Company Laws 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 Tip Code: 34952 Fay 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title molder on next page(if different E-Mail: lawselechicinc@aol.com
from the Owner Fisted above) State or County License: ER0000122
If value of construction is S250o or more,a RECORDED Notice of Commencement is required_
£•d -8921-199-699 LV££8L8ZLLMVl a£9:01 96 16 ady
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
D1r55iGNERJI;A1GiNEER: Not Applicable MOkTGAGE COMPANY': ti/ Not Applicable
Name: Name:
Address- Address:
statim X71- State:
Zip-- Phone: Zip.- Phone--
FEE SIMPLE I I I E HOLDER: _j/ Not Applicable BONDING COMPANY:
-,/—Not Applicable
Name: Naive:
Address: Address`
GRT City:
Zip_ Phone: Zip: Phone-
I certif7 f that no work orins411ation has commence4 priorto the issuance of a permit
St Luce County mala2s no representation that is grasriaingapernrr3will authorize the petmiC holderto bu8d the subjectstructure
which is fin mtrftict wif9t any applicable Home Owners Assakaation rules,byYavus or and cc�venasYts that tray resoiict or pn�lu"b'st Such
stru�rsre.please consult w your Home Owners Asoaation and review your deed for arty restr9ctions which may apply.
In consideration ofthe.granting ofthis requested permit;I do hereby agree that I w%in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lude County Amendments.
ThefoliovAng building permit applications are exemptfrom undergoinga full mncurrerny rm4r-w:groom additions,
aawsory sbucture%swimmbig pools;fences„walls,signs,screen rooms and accessory uses tb another non-reessdentW use
WARNING TD OWNER:Your tAuriato Record a Nice of Commencement may result n your pa*ngtwicefor
improvements to your pr+oper;.jt-A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.if you intend to obtain financrn&consult with lender or an attorney before
commencingwork or recordin ur Notice of Commencement.
-. of ContractorAicense Holder
Sro of Owner/Agent!lessee
STAT
OF
CDUFLORIDA
OF FLORIDA SAINT LUCIE COUNTY OF
COUN'dll SAINT LUCIE
Thejbrgoing insuurWwkyqaspdai9wIedged before me Thefiaraoing instruv+ras�ycknowledged before me
tfsis,�f day of �p iisis, Ly day o€ _ ZQrhy
SES W LAW JAMES W LAW
(Name of person acknowledging l (Name of person acknowledging)
( Nota Fu -State of Florida} {SsgnatYr Notary Public-State of Florida)
Zf Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification produced nil IEr LAW Type ofidesatdication Producer` J�� LAW
NOTARYAUBUC
FEE 845906 cotnnfission No. EE 846906MSZTATEOF
ARY PUBLIC
Commission No_
OF IDA FLORFLORIDA
CammitEE84&M C
r E*res 1012812016
Bgdsed 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION - SE.ATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
cOMPLETE
L
ITIALS
b'd -89ZL-09-L99 Lb££8L8ZLLMV1 e£9:OL 9L LL add