HomeMy WebLinkAboutBuilding Permit Application ALL APPLICARI.E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. Permit Number: ��00r
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RECER'7D MAY 0 0 2016
Building Permit Application
Planning and DeveloPmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address., -45 Ca.CZ
Legal Description:
Property Tax ID#: 3414-501-170 .-00019 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;
AcIclitional work oe e orme under tis permit—checka a appy.
E1HVAC E]Gas Tank FGas Piping _Shutters a Windows/Doors
R]ElectricEJ Plumbing Sprinklers E Generator Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Constriction:$ a�Dla•�� 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: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: city: Port St.Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax. 772-678-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(If different E-Mail: lawselechicinc@aoi.com
from the Owner listed above) State or County License: ER0000122
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORIVIAMON:
UFSiGNERf ENGINEER: Not Applicable - - MOI iGAGE COMPANY: .!NotApplicable
Name: Nafne•
Address: Address
city: state:
State= ��. ~ Phone:
Zip: Phone: p=
FEE SIMPLE.TITLE HOLDER; _&!!f.Not Applicable BONDMIS COAVANY: ye_*'Net Applicable
Name: Name:
Address: Address-
CitY
Zip; Phone- Zip- Phone:
I ce r fy that no work orinstailation has commenced priorto the issuance of a permit.
5t,Lude Go3LTn represerrtation that is grarrtirsg a permit wiq authorize the permit holder to build the sublectstructssre
which is in Pyour Name Owners AssorSation and revieuv your deed for arty resb lotions which may apply,
in consideration ofthe granting of this requested pernft I do hereby agreethat I will in all respects,perform the work
in accordance with the approved plain the Florida Building Codes and St.Lucie County Amendments.
-fhe•following building permit applications are exernptfrom undergoing a full concurrency review:roam additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your t effure to Record a Notice of Commence cent may result in your Paying tfice for
improvements to your property-A Notice of Commencement must be recorded and posted on the jobsite
before the first inspectiOn.if you intend to obtain financing,consult with lender or an attorney before
commencin want or recording ur Notice of Commencement.
S of Owner]AgenV Lessee sronature,of ContractorAi kense Holder
STATE OF FLORIDA STATE OF SAINT LUCIE COUMV OF RIDA
C0�3NTV OF ___ SAINT LUCIE.
-
'rhefor g i�pr►tvrrac ran tn+�anrledged b re me The fo Ing instrument was ac[apowiedged before me
thsk ay of,r-�M� LL ---�+ 20 of �20 2 5`
TAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)-
Notary Publlo-State of Florida) (Signature otary public-State of Florida)
P.erso MIIY Known OR Produced identification Personally Known 'Y'r OR Produced ldentriication
Type of Identification Produced Type of Identification Producers
N CrrARY PUSI.IC ,IULiEr 44vy
Cormnission No. IEE846906 . ATE OF FLORIDA Commission No. .El:846906 � ltRY PUBIC
Comm*EEB
STATE OF FLORIDA
MIS
ExpiM IOrA 2Mi6
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SiATURTLE MMIGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -
COMPLETE
INITIALS
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