HomeMy WebLinkAboutBuilding Permit Application i
ALLAPPLICABLEINFO MUST SE.COMPLETED FOR APPLICATION TO BE ACCEPTED 7
Date: c� 02Z 112 Permit Number:44
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Building mit�r
Pp
P
Application
Planning and Development Services
Building and Code RegulaVon Division _
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax.(772)4462-1578 Commercial Reside' ntiai x
PERMIT APPLICATION FOR: Electrical Q
PROPOSED INPROVEMENT/� LOCATION-
Address: _
Legal Description:
Property Tax ID#: "1301-111-0001-00015 =?d Lot No_
Site Plan Name: ! Block No.
Project Name:
Setbacks Front Back: Right Side: Left Sider
E
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack '
i
COP3STRUCTION INFORMATION:
rtiona rk to nGasTank
orme un er t is permit—c e a app y:HVAC QGas Piping _Shutters D Windows/Doors
ZElectric ❑_Plumbing 115prinkldrs Generator El Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ JrfJDr 0.0 Utilities: Sewer.oSeptic Building Height:
OW N ERILESSEE: CONTRACTOR:
dame Wynne Building Corp. Name: James W Law
Address: 8000 S US##1 Suite 402 Company: Laves Electric, Inc.
Port St. Lucie State: F. L Address: 218 Beach Avenue
Zip Code: 34952 Fax: City; Port St Lucie State: FL
Phone No. 772'B7&5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee:simple Title Holder ori next page(if different E-Mail: Iavvselectricinc@aoLi om
from the Owner listed above) State or County License: EROo0bi n
j
tf value of consfTuctSon is$7500 or more,a P.ECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION:
DESIGN ERIENGINEER: Not Applicable MORTGAGE COMPANY: tiNot Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip- Phone: Zip: Phone:
,FEE SIMPLE TITLEHOLDER: _j/Not Applicable, BONDING COMPANY: r/NotApplicable
Name: Name-
Address: _ Address:
City: Gly:
Tip: Phone: Zip: Phone:
OWNER)CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permitto do the work and installation as indicated.
I certify that no worts or installationhas commenced prior to the issuance of permit:
St.Lucie Co makes no representation that is granting a permit will authorize the permit holder•to build the subject structure
which is in County
with 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 reviewyourdeed for any restrictions which may apply.
16 consideration afthe granting of this requested permit,I do hereby agree that i will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Anendmerits.
r
'The following building permit applications are exemptfrom 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 OVMER: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
commenting work or recordingyour Notice of Commencement
Sign re of Owner)Agent/Lessee Sig re of Contractor/Licensed lolde
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF � .F'.r�-J COUNTY OF 11C.ef 141
The forgoing instrurrle_ntviagknowledged before me The forming instrument Vacknowledged before me
this ay of N/ by thij s pday of, 2D by
(Name of person acknowledging) (Name of Person actmowledeh g)
{ atur of Notary Public-State of Florida)
(5i of Notary Public-State of Flarida)
Personally Known �OR Produced Identification Personally Known ✓ OR;Produced identification
Type of Identification Produced JuiT 'Type of Identification Produced,
NOTARY Juliet l.aw•
STATE OFF OR '
Commission No. omission No_ (rte 1 ° i�IOTARYPUBLI
STATE
OFFLqR11A
Revised 07/1512014 Expires 1111= 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
LLDATE
COMPLETED
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