HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1
Date:_ A�, PermitNumber: 1 la-da�3
RECEIVED DEC 0 0 2016
Building Permit Application
Planning and Development Services
Building and Code Regulotlan Division
2300 Virginia Avenue,Fort Pierre Ft 34922
Phone:(77214462-1553 Fax: (772)462--1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: D to '0- 410 7
Legal Description:
Property Tax ID-#: "1300111-0001-0001x7 Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: LeftSide:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack _
I
CONSTRUCTION INFORMATION:
Adclitional work toeVe[ orme under tis permit—c ec a appy:
HVAC L�1 Gas Tank ❑Gas Piping _Shutters a Windows/Doors
Electric Plumbing Sprinklers 11 Generator El Roof
Total Sq.Ft of Construction: S .Ft.of First Ftoor:
Cost of Construction:$ 1100 lltilltles: Sewer ESeptic 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@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:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: J Not Applicable
Name: Name:
Address: Address:
Gty: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: i/ Not Applicable BONDING COMPANY: ,Not Applicable
Name- Name:
Address: Address:
Oty: City:
Zip: Phone: Zip: Phone:
1 certify that no work or installation has commenced.priorto the issuance of a permit.
St.Lucie County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your dome Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit,I 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 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
commencing work or recording our Notice of Commencement.
Jz�Si re of Owner/Agent/Lessee afore of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT WCIE COUNTY OF SAINT LUCIE,.
The forgoing instrument was acknowledged before me The for�oing instruntr t was acknowledged before me
this ( ,day of, _ . 20�>zp this day of. 20l b
JAMES W LAWN A JAMES W LAW
'14 erson acknowledging) of person acknowledging)'
of p
4 ", ,, �j �
(Signature of Notary Public-State of Florida) ( ignature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of identification Pro-du'cce/d Type of Identification Produced
-Commission No. Commission No. /;�4 u (SeaQ'
;�`• "`�: ANME 8R0 WALMACH ( �`�;nr"
N#FF984683
EXPIRES Aprif 21,2020 My COMMISSION#FFM663
Revised 07/15/201
L16"giro�
FwhceN f•.�;; EXPIRES April 21,2020
' oonr
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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