HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INF/O'MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Own AMUR
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)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: /
Legal Description:
PropertyTax ID#: 3414-501-1701-000/9 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:
Additional work ojepe Orme under this perm —check a appy:
aHVAC L�.•tGasTank , []Gas Pairing _Shutters Windows/Doors
Lr lElectric Q Plumbing SprinklersGenerator o Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction:$ d. Utilities: Sewer F Septic 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: PL Address: 218 Beach Avenue
Zip Code: 34952 Fax: may: Port St.Lucie State: F1L
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 LAIN INFORMATION:
DESIGNER/ENGINEER; 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: L Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced priorto the issuance of a permit.
St Lucie County makes no representation that is granting a permitwill authorize thepermitholderto build the subject structure
which is m con ictwith anyy applicable Home OwnersAssociation rules,bylaws or an covenants that may restrict or prohibit such
structure_Please consult with your Home Owners Assodation and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit I do hereby agree that 1 will,n 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 conurrrency review.room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER:Yourfailure 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
cornmendrig work or recording ur Notice of Commencement
Sitore of Owner/Agent/Lessee Anature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
'COUNTV OF SAINT LUCIE COUNTY OF SAINT LU.CIE,..
'fhe forgoing in anent was acknowiedged before me Theforgoing in n was adc owledged before me
this ;,day of ZD Eby thi ,,day of 20 ,1�y
.,LAMES W LAW JAMES W LAW
je of person acknowledging) (N of person acknowledging)"
(signature of Notary Public-State of Mosta) ( ignature of Notary Public State of Florida)
Personally Known ✓ OR Produced Identification Personally Known I---- OR Produced Identification
Type of ldentfication Produced 'type of Identification Produced
Commission No. FF��` �3... , Commission No. (Seal)-
N -ra BROWN
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS .
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