Loading...
HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 11 { 1 q � RECEI rED JAN 2 7 2017 Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)4621578 Commercial Residential X ;PERMIT APPLICATION FOR: Electrical PROPOSED INPROVEMENT LOCATION: Address: lv qr Legal Description: - Property Tax ID#: 3414-501-1701-000/9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: 1DETAILED.DESCRIPTION OF WORK: Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: AdC103onal work toe narformed under tis permit— ec a appy: 0HVAC Gas Tank ❑Gas Piping _Shutters tl Windows/Doors Pbectric FiPlumbing Sprinklers Generator .!Roof Total Sq.Ft of Construction: S�of First Floor: Cost of Construction:$ ©f C7�OCA Utilities Sewer r Septic Building Height: ;OWNER/LESSEE: CONTRACTOR: :Name Wynne Building Corp. Name: .lames W Law Address: 8000 S US#1 Suite 402 Company: Law's 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 Tip Code: 34952 Fax: 772-87"347 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 Lfcense: ER0000122 Of value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 6'd -8926-699-699 Lt££8L8ZLLMVl d£9:V0 L6 9Z Uel SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: 1/ Not Applicable Name- Name: Add ress- Address: City: State: City: State: tip: Whone: Zip: Phone: EEE SIMPLE TITLE HOLDER: �,Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address.• City: may= Zip: Phone: Zap: Phone: I certify that no work or installation has commenced.prior to the issuance of a permit 5t Lucie County makes no representation that Is granting a permit 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 prohlbitsuch structure.Please consult with your Horne 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 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 tommencinn work or recording our Notice of Commencement. iSW' re of Owner/Agent/Lessee ature of Contractor/License Holder :STATE OF FLORIDA = STATE OF FLORIDA -COUNT-YOF SAINT WCIE COUNTY OF SAINT WCIE . 'The f g in "m nck t was anowledged before me The forgoing instrument was acknowledged before me th=of - 20 z4aby th�ay of 20,C7,-by -JtkMES W LAW JAMES W LAW (Na person ackno ging) (Name person acknowledging)* (Signature of Notary Public-State of Florida} (SIbIature of Notary Public-State of Florida) Personally Known OR Produced Identification Personally KnownP--" OR Produced Identification Type of Identification Produced Type of Identification Produced .Commission No. (Seal) Commission No. Ff FR/71P 6 3 (Seal): •`�"�•., ANNE BROWN WALMACH :i► z MY COMMISSION#FF984663 gis = WN WALMACH Revised47jX5/2a14 EXPIRES Apn127,2020 •I, MY COMMISSION#FF984663 •.• �• EXPIRES • rs, REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE IA 9G Otl COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS. if Z'd -99ZL-L99-L99 Lti£C9L8ZLLM199 dE9:t,0 LL 9Z Uel