HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: R E C E I'.'^D P� 0 u ?.016 Permit Number:
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
PERMITAPPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: b
Legal Description:
PropertyTax ID#: 130111-0001-00014 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 ¢..euj
CONSTRUCTION INFORMATION:
itiona wor to e e orm under tis permit—check a appy:
EIHVAC F1 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
DElectric Plumbing Sprinklers 11 Generator O Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction: oc7$ �.����� ) Libiities:0 Sewer 0Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: .lames W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric.Inc.
City. Fort St Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: may: 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 UEN LAW INFORMAMON:
6991— tERJENGiNEER: V Not Applicable MOkWAGE COMPANY: ✓Not Applicable
Name: Naene:
Address: Address:
cftjr. State: City_ State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TME HOLDEM -v/ NotApplicable BONDIM COMPANY: _&/Not Applicable
Name: Name:
Address' Address:
Phone: Zip Phone:
I cerdry that no work or installation has eommencec�priorto the issuance ofa permit
St.was Count -makes no representation that is Wanting acvernu�will authorkzeth�ei n holderto build the sublectstructure
which is in act with anY applicable Home OwaersAsso ation rules bylaws or covenants that may restrict or prohibit such
smucture.Please consult vmxth your Horne Owners Association and review yourdeed for arty restrictions which may apply_
in corWderation of:the granting of this requested permit;l do hereby agree that I will,in all respects,perform the work
in amordancewiththe approved plans,the Florida Building Codes and 5t Lucie County Amendments.
-Che fiollovrrrrg iuitding permit applications are exempt from undergoing
a full concurrency revlow:room addrdons, f
a ccessary structures,swimming pools,fences,walls,signs,screen room and accessory was to another non-residential use
WARNING:TO OWINI:RR:yourfailm to Reeord a Notice of Commencennent may result in your paVingtvAce#or
improvements to your property-A Notice of Commencement roust be recorded and posted on thelobsrte
before the-first inspection If you intend to obtain financing,consult with lender or an attorney before -
commencing work or r2S914:iM your Notice of Commencement-
f'
1�
S0Satore.of ownerl Agent/Lessee afore of ContracGorJLicense Holder
STATE OF FLORIDA STATE OF FLORIIDA SAINT I.UCiE-
COUNTN OF SAINT LuaE COUNTY OF
Thefo Ing insb was 3C1mpwledged��a me 'ie ftRping ins<ru� r sway �+"""�dged before me
Of 7 _.24 ttrrs,, d. 7 _.
AES W LAW JAMES W LAW
{Name of parson acknowledging (Name of person admowledging)'
w
Nota Public-State of Florida j {S7W—mw Notary Public-Slats of Fonda I .
OR Produced IdentrTicatfon Personalty Known t' OR Produced lden'triication
PersorralEy Known Type ofIdent'ification Producers
Type of Identific�on Produced _ JULIET LAW
AIOTARY PUBLIC _
EE 845900mmiSsion Na_ TE 546906 ARY auBLiC
Commission No__ — ATE OF FLORIDAIZORIDA STATE OF FLORIDA
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vised 07/1512014
SUPERVIMANGROVE
CFRONT OUNTER R3:1/lNG R1=1/IEIN�R REVIEW REVIEW PLANS ON REVIEW REVIEW
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