HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:,) 0
Permit Number: Ac 6 5-011(J-1
R E C E I V7 D MAY 2.3 2016
Building Permit Application
Planning and Development Services
Building and Code Regula;iari oivision,
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-ISSB Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION,.-
Address:
Legal Description:
Property Tax ID#.- 1301-1-11-0001-000/5 Lot No.
Site Plan Name: Block No"
ProjectName:
Setbacks Front Back- Right Side:—Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—checK all th apply:
0HVAC Gas Tank Flas Piping Li Shutters M Windows/Doors
EJEfectritc Plumbing OSprinklers FIGenerator Roof
Total Sq.Ft of Construction: Sq.Pt.of First Floor—
Cost of Construction:$ ,.f, ,0. 00 R_
,0. 00 Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address-. 8600 S US#I Suite 402 Company: Laws Electric,Inc.
City: Port SL Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax:_ City: Port St.Lucie State. FL
Phone No. 772-878-5513 Zip Code: 34962 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(N different E-Mail: lamelectriciric(peal.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. J
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SUPPLEMENTAL CONSTRUCTION LIEN LAND INFORMAMON:
13ES1GN6R/ENGINEER: I/ NotApplicable - -- MOFfGAGE COMPANY: ✓ Not Applicable
Name: Nafne•
Address: Address:
State: C ky: State:
Zip: Phone: Yp: Phone:
FEE SIMPLE TTfLE HOLDER: V Not Applicable BONDING COMPANY Not Applicable
Name: Names
Address- Address-
Phone: �
p= Phone:
1 certify thatno work orinst0ation has commencedptiorto the issuance ofa permit
St_Lade County makes no representadonthat is grantingapermitwill
auihaikethepermit holderto buid the subjectstrucure
l �t� yurHnO��tidyuadre a3yPIfibjtsuch
structure.Pmsecconsuluromalr�ewodeefo -ayrestsictionsvhkh
In consideration of:thegranting of this requested permit,l do hereby agseethat i win,in all respecter poform•the work
in a cooyancewiihtheappmved plans,thp-TWda Bu&ft rodesandSt Gude CountyAmendments
Thefollowing buildmg permit appiiradons are exemptf om undergoing a fu6 concurrency revip m room additions, �
accessory structures.swimming pools,fences,walls,9M screen rooms and accessory usesto another non-residential use
WARNING TO OW14ER:Your faillure to Record a Notice of C mmencement gray result its your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
beforethefiirst inspection.if you intend to obtain finandng,consult Vah lender or an attorney before
commentingwork or recording r Notice of Commencement
Zel�f •�/ f
slpnawre of ownerl Agernl Lessee atum of Con ractorlLicense Holder
STATE OF FLORIDA STATE OF FLORIDA SAINT LUCIE.
CDUMY OF SAINT LUCIE COUNTY OF
Theforgoing"snstrumoltwas acITRWledged before me The far airrg i-9 wad edged before me
this. ay of _ 124 y this, day of :7L/
JAMES W LAW JAMES 1N LAW
(Name of person acknowledging) (Name of person admowledging I
. w
Notary Public-State of Florida) (dna 84otary Pu/Elie-State of Florida) .
Personaily Known OR Prodaced Identgication Perso W Known r✓ OR Produced Identificadon
Type of Ider0firation Produced Type ofldesru'iir�tion Produced
NOTARY PUBLIC JIILIEr LAW
FE 846966 commission Ivo_ EE 846906 ARY PUBUC
comrrrission[vo_ —- �Ad
EOFFLORIDA STATeoFFLORIDA
CEE846M
S Expires 10/28/2816
Revised 071151201.4
:REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION - SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE -
COMPLETE
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