HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO.MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .—Yt2,rt1L._ �, d2Dlb Permit Number:
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Building Permit Application
Planning and Development Services
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 INPROVEM ENT LOCATION:
Address: 7S
Legal Description:
PropertyTax ID#: 1306111-0001-000!41 k 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 toe e Orme un er is permit—c e a appy:
HVAC 13 Gas Tank EJGasPiping _Shutters Windows/Doors
Electric 7 Plumbing OSprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ ,�, QQQ. On Ut4ities:cnSewer 0 Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Laws Electric,Inc-
city. Part 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: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@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 CONSTRUCTION LIEN LAW INFORMATION:
MOM 111ERIENGiNEER: ;/ Alot Applicable MORTGAGE COMPANY: V Not Applicable
Name- Narne-
Address: Address:
Crty-. State:
Zip: Phone: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: city.,
Zip: Phone: Zip: Phone.
I certify that no work or Installation has commence4fdortothe Issuance of permit
St Lucia Caimtt��makes no representation that is granting a permit y�authorizethe permit holder to bcu"Id the subject structure
whidt is in corffliit with ar�y appripble Home Owners Assoeatton rotes,bylaws Q�rr aiu�covenants that may restrict or prohibit such
striieture.Please eonsultwrth your Home Owners Assocratlan and revicew yaurdeed forany restrictions vuhich may aPPIY-
In consideration of the granlMg of this requested perm,l do hereby agree that i will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The following builfrom d
ding permit applications are exempt unergoing a full eonc urrency review:room �
adCatior
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usestb another non-reddentiai use
WARNING TO OWNEft You rfall ure to Recard a Notice of Commencement may result in your paying uoice for
improvements to your property_A Notice of Commencement must be recorded and posted on the jobstte
before the first inspection.if you intend to obtain finansang,consult with lender or an attomey before
commendwork or recording ur Notice of Commencement
re
sr of Ownerl Agent Lessee Signature of Contractor/Umnse Holder
STATE OF FLORMA - - STATE OF FLOMDA
WLlfrm OF SAINT LUCIE COUNTY OF SAINT LUCiE-
Theforeoing instr= •v7im arlrnn,Medsed bafore me The•fnreajpg" ntwas acknowledged before me
Z,jgbyth at'. 20-�,�¢'by
TAMES W LAW JAMES W LAW
(Name of person admowledging) (Mame of person admowledging)
( Notary Public-State of Florida) (Signature ablotary Public-State of Rorida)
Personally Known OR Produced Ideritifecadon Personally Known V*" OR Produced idem ff-ication
Type of iderit-rfication Produced Type of identification Produced
NOTARY PUBLIC JUIJET LAW
Commission No, IEE 846906 OF FLORIDA Commission No. EE 845906 �il{�IARYPUBLIC
STATE OF FLORIDA
CommALEEMEM
. Com WEE846906
I Expires IQJ28MIS
Revised 07115/203.4
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE URTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INl'i7A15
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