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HomeMy WebLinkAboutBuilding Permit Application t . ALL APPLjQARLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -o4— Date: Date: Perm!t Number- Building Permit Application Planning and Developmentservices JUL 2 4 2617 Building and code Regulation Division 23001rrginloAvenue,Fort Pierce FL34982 PUblie Works Phone:(772)462-1553 Fax:(772)462-IS78 Commercial ResidenticM LuciXcounry, FL PERMIT APPLICATION FOR: Electrical `PROPOSED INPROVEMENT LOCATION.' Address: 5z "4' 7 Legal Description: Property Tax lD 3#: 9309-111-0009-OODIS :?t: Lot No_ Site Plan Name: Block No. Project Name: Setbacks Front Hack: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: ..Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: rtiona wor to e errormed under this permit—check ah that appy: []-HVAC . Gas Tank ©Gas Piping _Shutters Q Windows/Doors Electric Plumbing 135prinkiers Q Generator Roof Total Sq.Ft of Construction: SFt_of Firsts Floor. Cost of Construction;$� utilities, Sewer t ClSeptic Building Height bWMiRAESSEE: CONTRACTOR:. Name Wynne Building Corp. Name: James W Law Address: 8000 S US#9 Suite 402 Company: Laws Electric, Inc. City: Port St.Lucie State:Fl- Address: 298 Beach Avenue 2!p Code: 34952 Fax: City: Tort St.Lucie State: FL Phone No_'772-878-5513 Zip Code: 34952 Fax: 772-878-3347 Phone No. 772-971-4592 Pill in fee sim-pleTitleHolder on next page(if different E-Mail: lawselectricinc�7a aol.com from the Owner listed above) State or County License: ER0000922 0,value of construction is$2500 or more,a RECORDED Notice of Commencement is required. �'d -99Z6-499-L9� LV£i 9L9ZLLMV1 2060 Ll tZ Inf i SUPPLEMENTAL CONSTRUCTION LEEN LAIN INFORMATiON: DESIGNER/ENGINEER: Mat Applicable MORTGAGE COMPANY_ ✓Not.,Xpplicable Dame: Name: Address: Address: " City' State: City: State: Zip:- Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: _L/NotApplicable BONDING COMPANY: r/Not Applicable Name:. Name: Address Address: city: City Zip: Phone: Zip.. Phone: OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to.-obtain a perinitto do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of permit. St.'Lucie County makes no representation that is granting a permit will authorize the. ermit holder to build the subject structure . which is in conflictwith any applicable Home Owners Assoaation rules,bylaws or and covenantsthat may restrict or prohibit such structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consideration ofthe granting ofthis requested permit I do hereby agree that l 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 exemptfrom undergoing a full concurrency review:room additions; accessorystructures,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 Cornmencernent may result in your paying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsil:e before the first inspection. If you intend to obtain finandn&consult with lender or an attorney before r commenicin work or recordine vour Notice of Commencement. Sign re of Owner)Agent)Lessee_ StEr 4fure of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA - WUNTY OF '� � COUNTY OF The fere^ing instru%entw a5lmowledgecl.before me The foraoing instrument acknowledged before me tlroi'.�day of 20f by thisb ay2&=—. by (Name of person acknowledging) (Name of person acknowledging) ( � atur of Notary Public-State of Florida) (Silknatuth of Notary Public-State-of Florida) Personally Known ✓OR Produced identification Personally Known ✓ OR.Produced Identification T1ipe of Identification Produced JUR�r Type of Identification Produced NOTARY P0 3L Commission No. G"0 �� STATE OF F RIftnission 1140. �rsx� �(` .. NOTARY P1R3 Conn* hS STATE OF P A Revised 07115/2014 . Expires 1111312 0 REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW. REVIEW DATE RECEIVED DATE COMPLETED • :r+rr" �'d 84Z�-i99-699' zticceL8ZLLmvI a8Z:60 L6 tZ Inr