HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
0W/& Permit Number: [Y
Building Permit Application NOV 7 9 2016
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:•
Address: f
Legal Description:
Property Tax ID#: 1301-111-0001-00015 ? e- 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
CONSTRUCTION INFORMATION:
Additonal work to e e Orme under tis permit—c ee a appy:
HVAC �Gas7ank aGasPiping _Shutters aWindows/Doors
fl
Electric E]Plumbing F15prinklers F]Generator a Roof
Total Sq_Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,� O- dQ Utilities:�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 St. 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 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(gaol.com
from the Owner listed above) State or County License: ER0000122
if value of construction is$2504 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENGINEER: Not Applicable MORTGAGE COMPANY: J Not Applicable
Name: Name:
Address: Address:
City: State: City. State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TnU HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone.•
I cerffythat no work"installation has commenced.prior to the Issuance of a permit
St.Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in conlfrct with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit,I do hereby agree that 1 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 properly.A Notice c f 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 Commencement
Signa re of Owner/Agent/Lessee Ognature of Contractor/License FEolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT WCIE...
The forgoin gins"inenttw s admowtedged before me The forgoing instrument was acknowledged before me
this da of j . 20 Z-6b this day of 20.&. by
,LAMES W LAW JAMES W LAW
(Na of person ackno ging) (Name person acknowledging)'
/Il
(Signature of Notary Public-Stage of Florida) (Sibfature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produrad Type of Identification Produced
Commission No. �f. ��3 (Seat) Commission No._Ff�l�'�( 6.3 (Seal/'
ANNE BROWN W MACH
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Revised 09/15/2014
EXPIRES Aprl12l,2020 +� = MY COMMISSION#FF984663
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
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