HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO SE ACCEPTED
Permit Number (04C)s-0 L\oro
RECEIVED MAY 23
Building Permit Application
Planning and Development Services
SuMing and Code Regulation Division
7-300 Virginia Avenue,Fort Pierce FL 34982
Phone:(M)462-1553 Fax-.(772)462 1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION!.
Address:
Legal Description:
PropeM/Tax lD.#.- 1301-111-0001-00015 Lot No.
SitePlan Name: Block No.
Project Name:
Setbacks Front Back- RightSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Aciditional work tofoe Derformed -under this permit—check an ttiat appy:1
[:Je — F]Windows/Doors
HVAC. Gas Tank as Piping Shutters
Electric Q Plumbing F ISprinklers Generator Roof
Total Sq.R of Construction: SQ.Ft.of First Rdor.
Cost of Construction:$ S:r GfJ
Utilities:ElSewerlisepticBuilding Height:
OWNER/LESSEE: CONTRACTOR:
Narnik--WYnne Building Corp. Name, James W Law
Address: 6000 8 US#I Suite 402 Company: Law's Electric,Inc.
City: Port St.Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Far - I Port St,Lucie - FL
City. State.—
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 page if different E-Mail: laviselecbicinc@aol.com
from the Owner listed above) State or Co,unty License: r-R0000122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S,d LI?CC8L9ZLLMV-1 869:60 96 CZ ABN
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
S IGNERIENGINEER: Not Applicable MORTGAGE COMPANY: s/ Not Applicable
Name- Herne:
Address: Address-
City: State: mr. state:
zip: Phone: Zip: Phone:
EEE SIMPLE TRlEHOLDER: •I/ Not Applicable BONDING COMPANY s/NotAppCcable
Name: Name:
Address: Address
city:
Phone: ix Phone:
I cerbWthat no work orinstallation has commenced priortothe issuance of a permit
sL Lucie County makes no repnesenfadonthat is granting apermit vM uthoritethedpermit holderto build the sul*ctstructure
which i5 in attwith any applicable H�meOwners Association Hiles, Iaws orae covenants that may;est<itt ar prohibit such
structure.Please consultwrth your Home Owners Association and revlewryour deedfior any restrictions viWch may apply-
In consideration af-Lhe granting ofthis requested pera*,I do hereby agreethat I will,In all respecM perform the work
in=wrdanceurah the appraved plans,theRwida Building Cadesand St Lucie CountyAmendments.
Thefoilowmg building permit appliesons are exemptfrom undergoing a full concurrency review:groom additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and aaessory uses 16 another non-residential use
WARNING TO OWNER:Your failure to Record a Notice ofConanancernentmW result inyour>payingtwice1br
improvements to your property.A Notice of Commencement must be recorded and posted on the jobstte
beforethe first inspection.If you intend to obtain financin&consult with lender or an attorney before -
Mmmencing work or recordina vour Notice of Commencement
*;Mawre of Owner]Agentl Lessee alum of Contxactorllicense Holder
STATE OF FLOMDA F, STATE OF FLORIDA
t"OUNT4f Cjj7 SAINT LUC IE COUNTY f}F SAINTLUCIE.
fhe aril mg instzurggg acknSlwledged before me The for+roing instrup' gciamwiedged before me
this. ay nv •�[11�hy th> day of 2 .-bY
_48IM�ES W TAW .TAMES W LAW
(Name of person acknowledging) (Name of person aclmaNuledging)
�- NN P State of Florida j (FWaW1 Notary Public--State of Florida}
pgrsonaliy Known OR Produced ldenMc3don
Personally Known OR Produced Identification
Type of Iderttificatlors Produced Type of Iden ifiicatm Produced
HtOTAii1f I�lslic _ .1LRlET LAW
Commission No. ]EE 8469Qfi commission►oto_ •EE 846906 AI2Y PUBUC
—- ATE OF FLONDA STATE OF FLORIDA
C=m#EE8468116 Gimaggoffm
i Eq*99 1tu28MIS
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
wMALS
b'd -8526-199-699 Lt,££9L9ZLLM'99 1319:60 96 £Z ABA