HomeMy WebLinkAboutBuilding Permit Application I
ALL APPI. RI-E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ Permit Number. ,
�... RECEIVED
Building Permit Application yy qC
Planning and Development Services APR a 7,2®16
Building and Code Regulation Division
23W Virginia Avenue,For*Plerce FL 34982
Phone:(772)462-1553 Fax:(772)462-LS78 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED 1NPROVEMENT LOCATION:
Address- I
Legal Description:
Property Tax ID#: 34144501-1701-000/9 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 padcalandEnliftem
CONSTRUCTION INFORMATION:
AMMonal work to be nerformeclunder tispermi —check a appy:
1JHVAC LJ Gas Tank [7GasPiping _Shutters a Windows/Doors
Electric Plumbing E]SprinkJers Generator Roof
i
Total Sq.K of Construction: S .Ft of First Floor:
Cost of Construction:$ SO dG� Utilities:Sewer F Septic Building Height:
OWNER/LESSEE: 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 Codeel 34952 Fax: may: Port St Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-mail: i Phone No. 772-971-4512
Fill in fee simple Title Holder on next page{if different E-Mail: lawselectdcinc@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 CONSTRUIC 1100 LIEN LAW INFORMAMON:
QESi NIrRJE�iGINEI:tt: e/ No;t Applicable MORTGAGE COMPANY ✓NotApplicabie
Name: Naine:
Address: I Address:
Y' State: CKY. State:
Zip: I Phone: ZIP.-
FEE
ip:FEE SIMPLE TITLE HOLDER: Not Appfiicable BONDING COMPANY:
Name:_1
Name.
Not Applicable
Address: I Address:
c1tY- I - city.,
Zip: I Phone•
zip Phone.
Phone-
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i
l certify#hat no work or installation has c ornmenced-priorto the issuance ofa peen t
Lucie Coo �ty makes no representation that is granthg a genniitwill a rkm the peraft hoiderto build�suti ect sure
whiufi is In aaaafliu t uaiitli any applicable Home Owners Assocladon rules, or an covenants that may restrict air prcibut such
strut hu e.Please consult mft youir Home 0w iers Association and review:your deed for any restrictions which may apply:
in consideadon of the granting orthis requested perrnft I do hereby agreethat l wd,k all respects,perform the work
in accordarice'with the approved plans,the Rodda wilding Codesand 5t Lucie County Amendments.
-IheUlowrng'btuiiding permitapp5cadons ase awnptfmm undergoing a full concwrency reVmw.mare addWtom
accessm strvcttu esy swimming pools,fences„wails,signs,screen r ovens and accessory uses to another non dential use
WARNING TO pWNEI+Iv Yaurfailure to Record a Nbdce of C*rnaiencernent My Mutt in your paylli gtwice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspecdon.if you intend to obtain financing,consult wilt lender or an attorney more
commencing
��-work or record' ur Notice orf Commencement
re ofiOwner/Asentl Lessee Zgnatum of Contractor/11cense Holder
STATE OF FLORIDA - - STATE OF FWMDA
COUItit74'If OF SAINT LIICIE COUNTif OF SAINT LUCIE
'The forgoing instNFne 'm arkn Madged re me The fored-mg instru was otic owledged before me
tltfs of �::^ thk/ y 9f��20//aby
'M
-MMES W LAW JAMES W LAW
(Nme of pin adaowl edging) (Name of person acknowledging I'
i
(sFj a Notary Public-State of Randa) {5sgnatriru3 iary Pciblic-State of Florida)
Personally Known VlOR Produced idenificadon Personally Known V--- OR Produced i oAffircadon
Type of lderit'ficadon Produced Type of tderi#afication Produces: _
Commission Na EE 846906�. WANENOTARY OF FLORIDA Commission No. 846906*;:STATE
LAW
JRY PUBLIC
-- et#EE8461b6 OF FLOR)DA
es 10 280118
Rev1s4 07/15/2014
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RENIE1NS FRONT ZONING SUPERVISOR' PLANS VEGEt'ATiON - SEATURTIX MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
COMPLETE
Wil'IALS
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