HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date-,,-'mL[ �i /�, a2 Zj/� Permit Number. F `�'.
.. , RECEIVED
Building Permit Application JUN 13 1016
Planning a7d DevelopmentSeruices
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.
OCATION:Address: Iff
Legal Description:
Property T x ID#• 1301-1 11-0001-00015 17 L Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks I Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
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CONSTRUCTION INFORMATION:
AoditionalworKtooecierformed under this permit—check all ttot appy:
OHVAC Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
�Elelctric 0 Plumbing Sprinklers n Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ si�"oo.06 Utilities:0sewer El Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name I Wynne Building Corp. Name: James W Law
Address:j 80DO S US#1 Suite 402 Company: Laws Electric, Inc-
Port St.Lucie State: FL Address: 218 Beach Avenue
Zip Cod el: 34952 Fax: may; Port St.Lucie State: FL
PhoneN -878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-9714512
Fill in fee simple Title Bolder on next page{if different E-Mail: lawsefectricinc@aol.com
from theOwner listed above) State or County License: ER0000122
if value if construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE516NER1,ENG3NEE€t: •l Irtot Applicable MOF-GAGE COMPANY: ✓Not Applicable
Name: Name:
Address:__L Addresfi
State:
City.
Zip_ T1
Phone: p: Phone- State:
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FEE SIMPLE TjTf.E N®L®ER: No1:Applicable BONDING COMPANY Not Applicable
Name: Name:
Addrdss- I Addre-Rs:
�atY-' I Ohl=
ZIp: I Phone: Zip: Phone:
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certify thatno worst or installation has commencedprior to the issuance of a permit.
St LucieCaun maieesnorepresentafionthatisgrarrtingac rmitwillauthortmthedpennitholdertobuildth�esubjectstru�re
which is In ictwith any applicable Home Owners Association rules,bylaws or and covanants that may restrict or prohibit such
st ewrie.131I aseconsuttu thyourHomeOwnersAssociationandn dL-,xyourdeedforanyrestrictionsvuhicbmayapply.
In consideration afthe granting afthis requested perink I do hereby agr eethat i will,in all respects,perform the work
In accordan�vath the approved plans,theRorida Bonding Codes and St.Lucie county Amendments.
Thefollowin9 building permi-tappriications areexempt-From undergoing a'Fuli concarrency►reuiew:room addrtsons,
accessorystsvctures,swimming p00%fences,walls.signs,screen rooms and accessory umsto another non-residential use
WARNING TO OWNEW Your failure to Record a NaUce of Conunencement may result in your payingtMcefor
improvemerits to your property-A Notice of Commencement must be recorded and posted on the jobsite
before the first inspecdon-If you intend to obtain financing,consult With lender or an attorney before
commence�A worts or recoTdingvour Notice of Commencement_
*fatum of owner/Agent/Lessee re of ContractorJllcense Holder
STATE OF,FLORIDA STATE OF FLORIDA
'COUNTY OF SAINT LUCIE COUNTY OF SAINT WCIE
lhefbmoing iristru ttwas ackripwledged before me Thefioinoinginstry _was Acknnwiedged before me
tfiss day ofYd` ►
�AIlES W LAW JAMES Illi LAW
(Name asf pierson acknowledging) (Name of person admowtedging)'
{tea Notary Public-State of Florida
N PubUc--State of Florida) {Si
Persanaliy Known N/ OR Produced Idenffkation PersonallyKnown ✓ OR Produced tdermfi-kation
Fyne of Idsrit'itication produced Type of Iden alk utdon Produced JULIET
��W
NOTARY PUMIC
EE 84690' i commission No- --EE 845906 ARY PUBLIC
Commis�on No. ATE OF FLORIDA
. Corienf EE6469M STATE OF FLORIDA
• Expires 10128/2016
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTL.E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
INMAlS
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