HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFOO MUST
UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED y ,�
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Permit Dumber: It)-7"0457
SEC
Building Permit Application JUL 2 1 2011
Planning and Vevelopment Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4621553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical -'
PROPOSED INPROVEMENT LOCATION:
Address: l
Legal Description:
Property Tax ID#: 3414-501-1701-00019 Lot No.
Site Plan Naive: Block No.
Project Name-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work tobene rme unde is permit— e a appy:
HVAC I��.t Gas Tank []Gas Piping _Shutters Q Vilindows/Doors
Electric OPlumbing OSprinklersGenerator Roof
Total Sq.Ft of Construction: So.Ft.of First(Floor:
Cost of Construction:$_ �3.d d, � UtilitiesSewer 1.�1Septic 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.Lude State:F- Address: . 218 Beach Avenue
Zip Code: 34952 Fax: City: fort St.Lucie State. FL
Phone No. 772-878-5513 Zip Code• 34952. Fax: 772-878-3347
E-Mail: Phone No. 772-971-4592
Fill in fee simple•Title Holder on next page(if different E-Mail: lawselectddinc@aot.com
from the owner listed above) State or County License: ERo000122
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: Not Applicable MORTGAGE COMPANY: ✓ NotAppficab€e
Name: Name:
Address: Address:
C'W State- Clay: .State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _L/ Not Applicable BONDING COMPANY: _ Not Applicable
Name: Name-
Address: Address:
City: City:
Zip: Phone: Zip: Phone-
I certify that no work or installation has eommenced.priorto the issuance of a permit.
St Luse Cou�y 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 prohibit such
structure.Please consult wrth your Home Owners Association and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit,I do hereby agree that i rd1l,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and SL Lucie County Amendments.
The fol lowing 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 twicefar
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
-commenc!nLr work or recording our Notice of Commencement
Si tune of Owner/Agent/Lessee ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
"COUNWOF SAINT LUCIE COUNTY OF SAINT LUCIE..
The fc-going i entwas acicrpowledged before me The foraging instriem w adpowledged before me
this �ayofbY thidayof ' 2Ujr-117_
-JAMES W LAW JAMES W LAW
{ e of person acknowledging) (N of person acknowledging)
D Yvt
(Signature of Notary Public-State of Florida) ( ignature of Notary Public-State of Florida}
Personally Known ✓ OR Produced Identification Personally Knm m OR Produced ldentffi cation
Type of Identification Produced Type of Identification Produced
Commission No. FF Commission No. lcF lv� Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SF.ATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW- REVIEW REVIEW REVIEW
DATE.
COMPLETE
INITIALS
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