HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Number-
RECEP."7D OCT Z 4 2616
Building Permit Application
Planning and Development Services
Bonding and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1.553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address-
Legal Description:
Property Tax ID 4#: 34144501-1701-000/9 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 at each address
CONSTRICTION INFORMATION:
Mona war topenerformed under tis permit—check all appy:
HVAC Gas Tank DGas Piping _Shutters D Windows/Doors
aElectric Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: 5 Ft of First Floor:
Cost of Construction:$ ®y' 0y Utilities: U Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc.
City: Port SL Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: Clty: Port 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: iawselectricinc@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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNOFITERIGINEE—R:
—Not Applicable MORTGAGE COMPANY: ;,,""Not Applicable
Name: Name:
Address- Address:
City: State: city. State:
Z p: Phone: Zip: Phone:
FSE SIMPLE TITLE HOLDER: .Not Applicable BONDING COMPANY: _R�-Not Applicable
tame: Name-
Address- Address-
city*
;qp: -Phone: ZIP: Phone:
C,iWNER/CONTRACTOR AFRDvrr-.Application is hereby made to obtiIn a permit to do the work and installation as indicated.
1,1certWy that no work or installation has commenced prior to the issuance of a permit.
StLucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conflict with ani applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult urdh your Home Owners Association and review your dead for any restrictions which may apply_
In consideration of the grantingaf this requested permit,1 do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building codes and St.Lucie county Amendments.
The following building permit applications are exempt from undergoing a full concurrency review..room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements 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
dommencine work or recording your Notice of Commencement.
Sgn;06re of Owner/Agent/Lessee Sig re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF COUNTY OF
The forgoing instru nt was a�,;knoWledg '
ped_before me The forgoing*nstrumqnt was acknowledged b efore me
thlie'?1-dayi this LL day d2-� A 26� by
(Name of person acknowledging) (Name of person acknowledging
{5i atu f Notary Public-State of Florida (Si�atu of Notary Public-State of Florida)
Personally Known_. &--'OR Produced Identification Personally Knowni--- CR Produced Identification
Type of iderttification Produced Type of Identification Produced
JULIET
Commission No. 40&&6 NOTARY PUBLIMCImmission Ncr.,�5 F_A*4 .4WET LAW
TARY PUBLIC
STATE OF FL C P" STATE OF FLORIDA
Reyised 0711512014
Expires 10/2&2016
STA
OST'EXPIMS 10r28W16
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
!RECEIVED
DATE
1 ;COMPLETED
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