HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number
REV,rz,9V ED
Building Permit Application
01
Planning and Development Services JUN 1 6
Building and Code Regulation Division PERMITTING
2300 16irginia Avenue,Fort Pierce FL 34982 St. Lucie Ccunly, FL
Phone:(772)462-1553 Fax:(772)462-IS78 Commercial Residential x
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: (9fv
Legal Description:
Property Tax lD#: 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
CONSTRUCTION INFORMATION:
Adclitions lworKtooane rturmed under this perm!E—check all t=apply;
E1HVAC MGasTank Flas Piping Ll Shutters FIViinflows/Doors
OElectric Qpiumbfng OSprinklers 1:1 Generator D—Roof
Total Sq.Ft of Construction: Sq_R.of First Floor.
Cost of Construction:$ E2:2.0, Utilities:M Sewer 01 Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address. 8000 S US#I Suite 402 Company. Laws Electric.Inc.
cit)r- 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: 34952 pax: 772,878-3347
E-Mail: - Phone No- 772-971-4512
Fill in fee simple Title Holder on next page if different E-Mail: lawselectdcinc@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 CONSTRUCnON LEEN LAW INFORMAMON:
QESIGNERf E44fGC��F.�. ./ Not Applicab e - _ MOKrGAGE COMPANY: Not Applicable
Name., NaMe:
Address: Address:
City: State: Ct'ty_ state,
Zip: Phone: Zip: Phone-
FEE SIMPLE TITLE HOLDER ,L/—Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address- Address.
Zip: -Phone:Phone: city: Phone:
1 cer*that no work or installation has commenced-priorto the issuance ofa permit
St Lucie Coonty makes no repiresentation that is granting a�ppeerrmmrtwiil authorize the permit holderto build the subl-ectstructure
which is in curifFictwith any applicable Home Owners Association rules,bylaws or and covenants that may restrict or pmhfiit such
structum Please consult with your Dome Owners Association and review yourdeed forany re=strictions which may apply
in consideration ofthe granting of'tinis requested permit;Ido hereby agree that 1 will,in aN respects,perform the work
in accm danceWiththe approved plans,the Florida Building Codes-and St.Lucie County Amendments.
The IbRowing building perrniit appricadons are exemptfrom undergoing a fait concurrency review:room additions,
accessory structures;swimming pools,fences,walls,signs;screen rooms and accessary usesto another non-residential use
WARNING TO DVOVEW.Votw failure to Record a Notice of Commencement may result i n your pairing twi Go for
improvernents to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.If you intend to obtain financing;consult with lender or an attorney before
commencing work or recording our Notice of CommencemerrL .
signat&e of Ownerl Agent/lessee 96mature,ofContractorAlcerweHolder
STATE OF FLORIDA - STATE OF FLORIDA
COUNTY OF SMNTT LUCIE COUNTY OF SAINT LUCIlt _
The fc+meing iinsttum isms at*n—vledged befbre me The forenipg i was aeknov ledged before me
WM4*day of t ..ZOf f2"fsy
L
.IBES W LAW .FAMES W LAW
[Name of person adimoowledging] {Name of person acknowledgIM)'
(5i notary Public-State of Florid} (Signatureotary Public-State of Florida l
Personally Known OR Producer]ideniificafion Personally Krwwn OR Produced Identification
Type of Identification Produced 411 IET I AW Type of identc6cation Produced
EE 846906 NOTARY PUBLIC - JUtI
fisE1'LAW
Comnsion No_ _ I AIE OF SpA Comiewun No_ EE 846906 ARY PUBLIC
. Comm#EE84M STATE OF FLORIDA
OwmSEENUM
123qihe�s 1102=0 Erplre3s iQ12M16
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTL.E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INiTIALS
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