HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: n;Q L Permit Number:
If try j. R E D'.'TD JUL 112916
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)46.2-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSE) INPROVEMENT LOCATION: r
Address.
Legal Description:
-d
Property Tax ID#l: .x`11 9 5r3l 61— 1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Sack: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional worto e e orme under this permit-check a apply:
aHVAC ED Gas Tank 0Gas Piping _Shutters ❑Windows/Doors
E]Electric ®Plumbing Sprinklers 1:1 Generator EIRoof
Total Sq_Ft of Construction: Sq_Ft.of First Floor:
Cost of Construction:$ Oz.) Utilities:F-1-t.Sewer OSeptic Building Height:
OWNERILESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 , Suite 402 Company: Law's Electric, Inc.
City: Port St. Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Fort 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: lawseledricinc@aol.cam
from the Owner lister# above) ' State or County License: ER0000122
if value of construction 1s$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAMON:
DESIGNER ENGINEER: e/Not Appl'¢ssble rn MO[LTGAGE COMPANY: ✓Not Applicable
Name- Name:
Address- Address
City: State: City-: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDEW V Nct Applicable BONDING COMPANY: _&/No•t Applicable
Name: Name:
Address: Address
Zip: Phone: zip: Phone:
icer ifythatnoworkorinstallationInaseommence4fsriortotheissuanceofapermit.
St.Lude Coon�r makes rro re�presentatiot�that is grarttinga I a the p�ermR balder to bw'Id the subject stsarcoure
Which i5 in conflict viiptir�appTrcable Name tltn�ers�sso��na Isy favus or and couenassts that may restriCk or protu"biR such
structure'Please consult vuath your Name{7��s Assadatlan and review your deed far any rEs#rldaans which may apply.
in consideration afthe zmr mg of this requesW p ,[do hereby agreetirat i will,in ail respects,perform the work
in aceardance wjth the approved plans,the Florida Building Codesand St Lude County Amendments.
The following building permit applications are exempt from undergoing a full concurrency revieur_room additions,
sso
accery structures,swimming pools,fences,waft,signs,screen rooms and accessary usester b anothnon�iderd al use
WARN]N6 TO 0W NEft Your fatture to fermi a Nadce of Corn men P - ed may result in Yo"pe yingt vice for
improvements to your property.A Notice of Commencement mast be recorded and pasted on the jobsite
before the first inspection.If you intend to obtain financing;,consult with lender or an attorney before
COMMtncling Work or recording our Nance of Commencemennt,
s re of owner/Alen Lessee gnature of Contract or/lIcense Halder
STA'T'E OF FLORIDASTATE OF
. SAINT 4LSCIE CQUN7Y OFOR[pA
cl ulm L1F SAINT[.UCIE
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thisi -,oaf ' _ � th r'..'SiaY!af
I -
-JAMES W LAW JAMES W LAW
(Marne of person aledging) {looms of person acknow�dging)
Notary Public-State of Florida} {5gmatvre otary Pttbiic--State of i�tfda 1
Pq sonally Known '✓' OR Produced ld • cation Personally Known t' OR Produced Iderifficadon
Type of IdeatrFicidon Produced Type ofkienl0caUon. Produced R JULIET LAW
NOTARY MMUC
Commission Na 69116 ATE OP HIDA Commission No. 'EE 846906 ARY PUBUC
Corson,#EE848906 STATE OF FLORII?A
Expires%28J2016
Revised 0711512014
LNT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
NTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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