HomeMy WebLinkAboutBuilding Permit Application ALL APPL CABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- C�2- Permit Number:
Rh E CEIVED
0 i 14,11*20 W,
.jPL CABLE IN;.IV
Building Permit'Application AUG 2 4 2016
Planning and DevelopmentServices PERMITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce Fl.34982
Phone:(772)462-1553. Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Bechical
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
PropertyTaxiD#: . I30,G111-0001-000b* 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:
Adcditional work to be performed underthisperms–c ec a apply:
[]HVAC LJ Gas Tank F]Gas Piping —Shutters F–]Windows/Doors
L"lElectric Plumbing OSprinklers 0—Generator ORoof
Total Sq.Ft of construction: SQ.Ft Sewer of First Floor:
Cost of Construction:$ UtilitiesIlSeptic Building Height
11
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000SUS#1 Suite 402 Company: Laws Electric, Inc.
City: -Po-rt-St Fl-Lucie State: Address: 218 Beach Avenue FL
Zip Code. 34952 Fax: City; Port SL Lucie State:
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$25011 or more,a RECORDED Notice of Commencement is required.
300:01, gi, 17Z 5nV
SUPPLEMENTAL
P
L
EMEN—TAL CONSTRUCRON LEEN
-E—N LAW
INFORMA, TION:
ffF91GNERjfNGINEER: Not AP0ficable MOE
COMPANY: ✓ Not Applicable
Nalne-
Address: Address:
Cdy-- State: aw--
Zap:_ Phone: Zip: Phone:
FEE SIMPLE T1711E HOLDIER: __U/ NotAppricable, �BONDING CoMpANy.
--V—NOt Applicable
Name: Name:--
Addri ss: Address:
City: cltr-�
Zip: Phone: zip: Phone:
I certify that no work or installation has commenced-pilortDthe Issuance of permit
St.Lurie Coun makes no representation that Esgr;'M-"ng a.PjCTVt acct mk
rujIfflap orketheper holder to build the subjectsizucture
Rich Is In cor,%rtWAh any applicable Horne Owfiers;Assockadon es,bylaws or and coven-ants that may.restrict or prolfib-it such
struchm Please consult mirth your Home Owners Association and review yourdeed for any restrictions vihich may apply-
In conslderatnon ofthe wanting ofthis requested permit,I do hereby agmethat I miff,in all respects,perform the work
in accardancewith the approved plans,the Ficifida Building Codes and SL Lucie County Amendments-
The fallowing building permit applications are exemptfrom undergoing a full concurrency reAfignuz-room additions,
accessory structures,swimming pools,"fences,walls;signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER-.Your Ulureto Record a Notice of Commencement may result:ire yore-paVingtwcefor
improvements to your property-A Notice of Commencement must be recorded and posted on the jobsite
beforethefirst inspectiorL If you in-tend to obtain finaneing,consult mirth lender or an attorney before
commencing work or recordipA Vur Notice of Commencement -
Sgnattrre ofOwner)Ag eto Lessee- Signature of ContracturfUcen se Holder
STATE OT-FLOPJ.DA STATE OF FLORIDA
Lmm OF SAINT LUCIE SAINTWCIE
Thefftoinginstrum twas acknowledged belbre me The forgoing InstruWmit was acknowledged before me
20;6 by this day of4kz49*aa-)1'- ,20_&:pby
.TAMES W LAW JAMES W LAW
{Name Of-person acknowledging) [Name of Person acknowledging)"
4kfPcitary bric-State of Florida
(sign-BM&-Z�f Notary Public-State of Fforida) (Signature PEI
Personally Known OR Produced Iderrilf[cution Personally Known V*" OR Produced Iderdffication
Type of Identification Produced -H If'EX LAW Type of idenfflcadon Produced
JULIET LAW
NOTARYPUBLIC
L%
EE 846906 commission No. -EES46906 PUBLIC
Commission No- OF FLORIDA 77
'M STATE OF FLORIDA
Comm#EES46M
r
Revised 0711512014 Expires=2802016
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SE,kTURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
-5A-TE
COMPLETE i-
NITIAIS
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