HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE RNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Z Permit Number:
RECEIVED,
Building Permit Application
Planning and Development Services JUL 15 2016
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(-M)462-1553 Fax.-(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Fjecbic.al
PROPOSED JNPROVEMENT LOCATION:'
Address:
Legal Description:
Property Tax ID#: 3414-501-1701-00019 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION 6P WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:'
Aclomonal work to beR nUtorm9a under this perrmt–check all t=appy:
UHVAC 0 Gas Tank 0 Gas Piping Shutters Windows/Doors
9 Electric F-1 Plumbing F— Sprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction: 2900 eP 00 Utilities:LJ Sewer USeptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name _ Wynne Building Corp. Name: James W Law
Address- e000 S US#I Suite 402 Company: Law's Electric,Inc.
City. Port St Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucia State: FL
Phone No. 772-878-5513 Zip Code; 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4612
Fill in fee simple'71rde Holder ort next page(if different E-Mail: lamelectricinc@aof.com
from the Owner 16ted 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 UE9 LAW INFORMA-nOM:
DI iGNER�ENG o NtrtAa is abte MWMAGECOMPANY: lNatApp>•tcable
Name: - Alaane;
Address: Addis
MOM Panne: Stater,__
FEE SIMPLE i'fME NOW Nex- pll®bie WND1NG COMPANY Not Applicable
Name: Name;
Addre. Address:
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Zlp: Phone: Zip: Phone: ---
OWNER/CONTRAEMR ARIDMAPPocz im 9--herebynf udeto obwna perntltto dothe work and bs a so n as iadkated.
I WtIflythat no work aar i WmBabon hascommenmd pdWWlke iWs=ofs permit
5t iW swro rpgeerbtimoa thats athe 6ud the u6ectsbmt --m
wbd ,� i �apl0d=Hase Wag ywod ret wsucHaswcbm Plea—�
Ota Assr, On and review yotrrdeed forany restrlctionsvdddt tna�y epP1Y
in=mderabon ofthe ung afdit reline grit,Ida he eby ag wdut i will In aD resgatM perfo m the work
in 2awdm=9v ithH ,zppnnmd plam the Gusms Suawn Codes and SL Wde CutoWlAmendntenm
The follmft bdldin9 peMitappHu i=ace amptftm undergoft a fill cmwi amW review:room addtioM
!f stru=a% imnft pool,feam-s umb,9gmscum rooms and aacezaty tuesto aeaw nonqedden"use
WARNING TO OWN-We.Tour fe?lmmay testa in Vow paying tvA=,%o r
=tm imementsfio r propetltV.A Wdu--oT Commencement must Ise recorded and p,ted on the god
before the first impscam.If You Intendtaebtanfimmdha consult vAth hodw or an attorney before
commend work o r record' ur N Ce of CommencernenL
k of Owner/AgMV lessee of Contractor ft rider
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