HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /
Date: ._-24 Permit Number: V
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Building Permit Application AUG 2 ' 2017
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-INPROVEMENT LOCATION:
Address
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:
[DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work to be oerformed under this permit—check a appy:
I�HVAC Gas Tank as Piping 1:1_Shutters a Windows/Doors
DElectric Plumbing Sprinklers Generator Roof
Totai Sq. Ft of Construction: So-Ft.of First Floor:
Cost of Construction:$f �^�. d� Utilities:USewer Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: .lames W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric,Inc.
City: Port St.Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill irt fee simple'Title Halder on next page I if different E-Mail: lawselectdcinc@aol.com
from the Owner listed above) State or County License: E:R0000122
If value of construction is$250D or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: Not Applicable MORTGAGE-COMPANY: -j�'�N ot Applicable
Na—e: 145W.-
Address: Address:
City: State: City: State:
Zip: Ph6ne:
Zip-
FEE SIMPLE TITLE HOLDER:
-1/Not Applicable BONDING COMPANY: v"Not Applicable
Name: Name:
Address; Address:
City:
city,
Ztp: Phone. Zip: Phone:
OWNER]CONTRACTOR AFRDVIT:Application is hereby made to obtain a permitto do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a pen-nit
St 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 Assopation rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult With your Home Owners Associatibri and review your deed for any restrictions which may apply.
In consideration ofthe 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 Lucia 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 roams and accessary uses to another non-residential use
WARNING TO OWNER.,Your failure to Record a Notice of Commencement may result in your paying twice for
16riprovemerrts to your propertyA 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
6()Mmencing,work or recording your Notice of Commencement
Sign re of owner/Agent/Lessee Sigrpdfure of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
WUNTY OF COUNTY OF
The foreoing instrurr)e
,pJ was ii5knowledM4 before me Theforgaing instrume twas acknowledged 6efare me
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(Name of person acknowledging) -{name of person acknowledging)
S latu Notary Public-State of Florida (S*��a—tuVb of Notary Public-State of Florida)
Personally Known OR Produced Identificadon Personally Known A-- OR Produced Identification
Type of Identification Produced— Juxttaw Type of Identification Produced
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v
Commission No. STATE OF F 1.0�01issjon No. 6-66!X6 NOTARYPUBLIC
STATEOFFL.RROA
Expires 11 1312020
6
Eines 1119 32
Revised 07/1512014
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER . REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
. DATE
RECEIVED
DATE
COMPLETED
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