HomeMy WebLinkAboutBuilding Permit Application ALLAPPII , LE INFO MUST BE COMPLETED FOR APPLICATION TO BEACCEPTED
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- Permit Number:
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Building Permit Application AUG 2 8\2011
Planning and DevelopmentServices
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone:(772)462-1553 Fax:(771)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax ID 130111-0001-ODOI Lot No.
Site Plan Name- Block No-
Project Mame:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPMON OF WORK:
Replace meter center with a combo pack
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CONSTRUCTION INFORMATION:
Additional work to je�ertormed un ert is permit-=c e all appy:
]HVAC I;!Gas Tank ❑Gas Piping _Shutters ❑Windows/Doors
Electric 0 Plumbing Sprinklers ElGenerator 1:1Roof
Total Sq.Ft of Construction: S Ft.of First Floor:
Cast of Construction: Utilities: Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp- Name: James W Law i
Address: 800D S US#1 Suite 402 Company: Law's Electric, Inc.
City: Part 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 in fee siimple 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$2504 or more,a RECORDED Notice of Commencement a required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: e/ Not Applicable MORTGAGE COMPANY- %1/ Not ApplicableName: Name:
Address: Address:
City: .
State• City State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: ,/Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: !?hone-
1 certify that no work or installation has commenced.prior to the Issuance of a permit
St.Lucie County makes no representation that Is granting apermitwill authorize the permit holder to build the subjectstructure
which is in conflict with any applicable Home Owners Association rules,Waws or and coverrantsthat may restrict or prohibit such
structure.Please consult with your home Owners Association and review your deed for any restrictions which may apply.
In o msideration ofthe granting of this requested permits 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 CountyArnendments.
The following building permit applications are exempt from undergoinga full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and ammory uses to another non-residential use
WARNING TQ OWNER: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 pasted on the jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attomey before
commencine work or recording our Notice of Commencement.
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Si ture of Owner/_Agent/Lessee azure of Contractor/license Holder
STATE OF FLORIDA STATE OF FLORIDA '
COUNW OF SAINT LUCIE COUNTY OF SAINT LU.CIE. .
Thefor?ning instru7&4e
t was acknowledged before me The f ng instrument was acknowledged before me
thiday of 2027--by thiSay of- �2QZZ--,y
JAMES W LAW A JAMES W!AW
(D^e of person admowledging) (N of person acknowledging)*
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Are yl,�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known ✓ OR Produced Identification Personally Known' >/ OR Produced Identification
Type of Identification PrpAuced Type of Identification Produced
Commission No. tummission No. (Seal}-
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EXPIRES cOMMISSION#FF
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aseo�ra FmneaN ? EXPIRES April 21.2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAnON SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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