HomeMy WebLinkAboutBuilding Permit Application I.
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ALL APPUCABLE INFO MUST BE COMPLETED FOR APPI(CATION TO BE ACCEPTED
Date: -52-0 - 4 Permit Number: � � 0
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Building Permit Application ,i NOV 0 61017
Planning and Development5ervices it PERMITTING
Building and Code Regulation Division St.Lucie County,FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-2553 Fax:(772)462-1578 Commercial Resi'clential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION: iI
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Address' 1r " /• � .G
Legal Description: til)
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Property Tax ID#: 3414-501-1701-000/9 ) Lot No.
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Site Plan Name: Black No.
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Project Name:
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Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: II
Replace meter center with a combo pack at each address
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CONSTRUCTION INFORMATION:
Aaclitional wa tobenertorffecl under t is permit-c ec a appy: it
0HVAC Gas Tank F ]GasPiping Shutters Windows/Doors
U Electric 2 Plumbing Sprinklers E]Generator LJ1 J Roof
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Total Sq. Ft of Construction: Sq.Ft.of First
]j Floor:
Cost of Construction:$1"'�a utilities:0Sewer 0-Septic Building Height:
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OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Lav�!�
Address 8000 S US#1 Suite 402 Company: Law's Electric!;jinc,
City: Port St.Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucie;';11 State: FL
Phone No. 772-878-5513 Zip Code: 34952 1!I Fax: 772-678-3347
E-Mail: Phone No. 772-971-451211}
Fill in fee simple'i itle bolder on next page{if different E-Mail: lawselectricir3c a aoLcom
from the Owner listed above) State or County License: ILR,0}00122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required-
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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DESIGNERIENGINEER: V Not Applicable MORTGAGE COMPANY-;j ✓ Not Applicable
Name: Name: 1!
Address: Address: II 1
City: State: City: it .State: i
Zip: Phone: Zip: Phone:;I
FEE SIMPLE TINE HOLDER: _j./ Not Applicable BONDING COMPANY: !! Not Appllcable
Name: Name:
Address: Address:
yip City:
Phone: Zip: Phone:I,II
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i certify that no work or installation has commenced priorto the issuance of a permit
St.Lucie County makes no representation that is granting a permit will authorize the permit holderto 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 with your Home Owners Association and review your deed for any res„tnctions which may apply.
in consideration of the granting ofthis 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 Amendments.
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The following 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 toianother non-residential use
WARNING TO 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 record ed and posted on the jobske
before the first inspection.If you intend to obtain financing,consult with lenderbr an attorney before I'
commen in work or recording our Notice of Commencement
Si lure of Owner/Agent/Lessee Anature of Contractor/Liciiiise Holder
STATE OF FLORIDA STATE OF FLORIDA (j
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE.
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The forpoing in nwa
ts acknowledged before me Theforeoing instr,,ment wastac nowledged before me
this —slay of 1 20 2:Lby thi&o"ay of 20/7. by
JAMES W LAW A JAMES W14AW
( e of person acknowledging) (N of person acknowledging)
(Signature of Notary Public-State of Florida) ( ,gnature of Notary Public''-,State of Florida)
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Personally Known ✓ OR Produced identification Personalty Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. �G�� �3 r Commission No_ _`ice i��v (Seal)
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ANNIE SRO WAL
_ MACH .:•,:�'*" Nra ,
N#FF9646g3 My COMMISSION q FF9$4683
°! ..• EXPIRES April 21,202o
Revised 0711512014 mora rya o,s3 EXPIRES April 21.2020
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW I REVIEW REVIEW
DATE
COMPLETE
INITIALS II j
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