HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: — Permit Number: %M- ,0,00\5
RECEIVED DEC p D 1.016
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-7553 Fax: (772)462-157$ Commercial Residential X
PERMIT APPLICATION FOR: Electrical E
PROPOSE[) INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax 10#• 130rc 111-OOD1-000l�7 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:
AcIcirtional work to e e Orme under tis permit-check a appy:
HVAC n Gas Tank Gas Piping _Shutters ❑Windows/Doors
ZElectric Q Plumbing Sprinklers ElGenerator a Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ '5'.00,Oe) Utilities: 1:1Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: James W Law
Address: 8000 S US#1 Suite402 Company: Law's Electric, Inc.
City: Port St Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: MY: 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$25t1U 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: -A/Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Nat Applicable BONDING COMPANY: -&_Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced.prior to the issuance of a permit.
St.Lucie Cou��yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in cosiflictwith 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 far any restrictions which may apply.
in consideration ofthe granting ofthis requested permit,I do hereby agree that I wail,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 full concurrency review:room additions,
accessory structures,swimming pools,fences,wails,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 pasted on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commend-ag work or recording our Notice of Commencement.
Sign re of Owner/Agent/Lessee Si tureof Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE- .
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_day of flp ,) A&. . 20"_by this—6--day of 20.L�-by
JAMES W LAW JAMES W LAW
(Na of person admowledging)S {Nam person acknowledging)
'
7 ofw, Gum-- L
( ignature of Notary Public-State of Fiorida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. _ Commission No. ,...., ---.� j
ANNE BROWN ALMACH :,,qANN•. E BROWN WALMACIi
3
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURCLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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