HomeMy WebLinkAboutBuilding Permit Application ALL.APPLICA$LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_; �r�/ Permit Number:
""im Building Permit Application
NOV 0 7 2017
Planning and DeveiopmentServices
Building and Code Regulation Division PEM1111-TING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL.
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: Z
Legal Description:
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Property Tax ID#t: 130k111-0001-0001 e Lot No.
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack �� .� i �
CONSTRUCTION INFORMATION:
Additional work to be aPrtormed under this permit—check all that appy:
LJHVAC Gas Tanlc ❑Gas Piping Shutters Windows/Doors
I'�1 Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
G Cost of Construction:$ LQ�O, Utilities: []Sewer D Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. I Name: James W Law
Address: 8000 S US#i Suite 402 Company: Law's Electric, Inc.
City: Port St. Lucie State: EL Address: 218 Beach Avenue
34952 Port St. Lucie EL
Zip Code: Fax: City: State:
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page (if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122 I
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required-
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SUPPLEMENTALCONSTRUCT)ON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING:COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
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 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 restrictions which may apply.
in consideration of the 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 Cortes and St.Lucie 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 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 twice for
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
commen in&work or recording our Notice of Commencement
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Si Lure of owner/Agent/Lessee ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LOCI£ COUNTY OF SAINT LUCIE
The fnrer)ing inst pntwas acknowledged before me The forKoing instn1mentw�s,acl nowledged before me
this Vijay of QP j�J olka f 20 LZby thiy ay of_ Z 20f f by
TAMES W LAW JAMES W LAW
( e of person acknowledging) (7 of person acknowledging)
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(Signature of Notary Public State of Florida) ( Ignature of Notary Public-State of Florida I
Personally Known ✓ OR Produced Identification Personally Known +-� OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. F"c ` k_�IL 63 Commission No. (Seal)
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F9$4663 MY COMMISSION#FF984663
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
QATE
COMPLETE
INITIALS
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