HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 13
Date Permit Number:
1�3111 1.11,172 1 loop 1111111111KLRECEIVED
Building Permit Application DEC 2 7 2016
Planning and Development Services PER MIT'TING
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: Electrical
PROPOSED INPROVEMENT LOCATION.-
Address:
Legal Description:
Property Tax ID#: 1301-111-0001-00015 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:
Addittana;war KtobeDertormed under this permit—check all apply. L.
0HVAC Gas Tank Flas Piping Shutters ❑E]Windows/Doors
RiElectric r_1 Plumbing 1Sprinklers Generator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor.
Cost of Construction:$ — — Septic Building Height:
_6 e0- 40 6 Utilities:[:]SewerF—
OWNERAESSEE: 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: towselectricinc@aot.cam
from the Owner Listed above) I 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: _k/ Not Applicable MORTGAGE COMPANY: ,/Not Applicable
Name: Name-
Address: Address:
cty- State' city: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: // Not Applicable BONDING COMPANY: _%/Not Applicable
Name: Name:
Address: Address:
City: cry:
Zip: Phone: Zip: Phone:
i certify that no work or installatlon has commenced priorto the Issuance of a permit.
St.Lode Count no repnese on that Is gra,=a pa n rWwM by orize the p holder to build the subject.structure
which is in con tct with any applisanie Home Owners seas and 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 t will,in all respects,perform the work
in accordance with the approved plans,the Florida>#u&ft Codes and SL rude 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 moms and accessory uses to another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Cornnvance nnen t may result in your paylrtg twice for
Improvements to your property.A Notice of Commencement must be recorded and pasted on the jobs ite
before the first inspection.if you intend to obtain financing,consult with lender or an attorney before
commengffi work or recordiniz
�- ur Notice of Commencement
stnaoe of Owner/Agent/Lessee Sigum of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
"COUNW OF SAINT LUCIE COUNTY OF SAINT WaE .
The forgoing instrument was acknowledged befte me The forgoing instr was acknowledged before me
th-�Z` ,day of @.l°'_. 20�by this,w day of� ,. 24„44. by
TAMES W LAW JAMES W LAW
(Nam person acknowledging) (Na af person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced identification Personally Known 'F OR Produced identification
Type of ldentffication Produced TANN
ype of Identification Produced
Commission No. � (Seal) "l` !; tAY C �� G b3 {Seal]
April 21,2020
Revised 0711512014 ~. W COWAISSON a FF9$4=
EXPrRES Apri 2i,2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
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