HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION To BE ACCEPTED
Date: Permit Number
Lo 1,2,
RECEIVED
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Building Permit Application DEC 2 7 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 LOCATIOW,
Address:
Legal Description:
Property Tax lD#: 1301-111-0001-00015 4 e- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back- Right Side: Left Side:
DETAILED DESCRIPTION OF WORri.
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work to be ertormed -under this permit—clieck all tl=apply.
CHVAC Gas Tank E]Gas Piping FI_Shutters F]Windows/Doors
EElectric Plumbing nSprinklers 1-1 Generator Roof
Total Sq.Ft of Construction: Sq.R.of First Floor:
Cost of Construction-$ 42al:2,_yo Utilities: USewer FISeptic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#l:1 Suite 402 Company: LaVs Electric, Inc.
City: Port SL 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$2S00 or more,a RECORDED Notice of commencement is required.
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SUPPLEMENTAL CONSTRUCnON LIEN LAW INFORMATION:
DTSiGNWENGINEER: V Not Applicable MORTGAGE COMPANY: �/ Not Applicable
Name: Name:
Address: Address: `
City: State- City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Nacre:
Address: Address:
Mir- Cit)rz
Zip: Phone: Zip. Phone.•
I certify that no wont or Installation has commenced.prior to the issuance of a permit
SL darcie Courty makes no repres on that is granting a J ermrt wry autlwrixe the pemit holder to buHd the subject structure
which is in aornftict w�#h any app le Name Owners Assac�tkx�rulPx,by<aws or and covernants that may restrict ar prohibit such
strucstrre.Please consult with your Etane Owners Association and renew your deed far airy restridfons which may apply.
in consideration of the granting o f this requested permit,I do hereby agree that I wry,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 appikatiGons are exempt from underg�aing a full concurrency review:room additions,
accessory�,swimming pools,fences,wags,signs,screen rooms and accessory uses to another non-residentlai use
WARNING TO OWNER:Your failure to Record a Notice of Commencement nny rescue in your paying twice for
improvements to your property.A Notice of Commencement mast be recorded and posted on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an arttomey before
commend work or recordingyour Notice of Commencement.
St re of owner/Agent/Lessee gnature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORSDA
COUNTY OF SAINT WClE COUNTY OF SAINT waE.
The fo ck
instryment was anowledged before me The for�aJdi,,n,g instrument was acknowledged before me
this0fZ of &d;. 201?by tld , �j,ay of .4&2 by
,t 4MES W LAW JAMES W LAW
(N pion ackn7fig) (Name person acknowledging)'
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km
(Signature of Notary Public-State of Florida) (SI&fature of Notary Public-State of Florida
Personally known ✓ OR Produced Identification Personalty Known y~'JOR Produced Identification
Type of klentifica*=Produced Type of Identification Produced
•Commission No. .�rc-f'.��:1 - ileal) Commission No. f jr�'` n % (Seal),
ANNE BROWN W H
MY COMMISSION*FF984663 s•: SROWN WA-SACH
Revised 07/15/2014 EXPIRES April 21,2020 •'� MY conat,rlssrow,r FF984663
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATIQN sEA►TURTLE WRgm
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEMW
HATE
COMPLETE
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