HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED' j
Date: ° 7 Permit Number: - 00
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Building Permit Application DEC 0 5 2017
, Planning and DevelopmentServices I PfiRM!
171NG
Building and Code Regulation Division ' �
l County,St. Lucie C 2300 Virginia Avenue,Fort Pierce FL 34982 ty, FL
Phone:(772)462-x553 Fax:(772)462-1578 Commercial 'Residential X—
PERMIT APPLICATION FOR: Electrical 0
PROPOSED INPROVEMENT LOCATION:
Address: 13 ar ,/3 / 7-3
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Legal Description:
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Property Tax ID#I: 130,C-111-0001-0001-0 1' Lot No.
Site Plan Name: � � Block No.
Project Name:
Setbacks Front Back: Right Side: left Side:
!DETAILED DESCRIPTION OF WORK: E:
Replace meter center with a combo pack at each address
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:CONSTRUCTION INFORMATION: ;
itiona work to-be performed under fhis permit—check all tLat apply:
i (o�HVAC Gas Tank D6as Piping Shutters
! Windows/Doors
Electric Plumbing Sprinklers FIGenerator Roof
j Total Sq.Ft of Construction: Scl.Ft.of First Floor: ; j°
Cost of Construction:$ d rJc .-d>6 Utilities: Sewer r]Septic (!,Building Height:
OWNER/LESSEE: CONTRACTOR: ;
Name Wynne Building Corp- Name: James W Law
Address: 8000 S US#1 Suite 402 Company.. Law's bectric,;'Inc.
City: St.Lucie State- FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.!Lucie 1; State: FL
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: lawselectricine@aol.com
from the Owner listed above) State or County License: IvR0000122
if valve of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: is .
j DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY:!; ,l Not Applicable
1 Name: Name: �I'
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:;;
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FEE SIMPLE TITLE HOLDER: _1/ Not Applicable BONDING COMPANY: ; Not Applicable
Narne: Name ,i
Address: Address: i I
City: City: i I'i
Zip: Phone: Zip: Phone: i
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I certify that no work or installation has commenced prior to the issuance of a permit. ,I 1
St Lucie County makes no representation that is granting permit will authorize thepermit 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,pe11 ifiorm the work
in accordance with the approved plans,the Florida Building Codes and SL 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 maly result in your
paying twice for
improvements to your property.A Notice of Commencement must be redordedland posted on the jobsite
before the first inspection.If you intend to obtain financing,consult with(lender or an attorney before
corn men cin work or recording our Notice of Commencement. ! 1'
igt re of Owner/Agent/Lessee Signature of Contractor/License Holder
STATE OF FLORIDA - STATE OF FLORIDA �'6
COUNTY.OF SAINT LUCIE COUNTY OF !I SAINT LUCIE
The for going instrument lent wa�!acknowledged before me
The foraofng instrument was acknowledged before me thiso day of r'tl' I o , .
this:��ayof c�4� 20�by , 20Z%by e�
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,JAMES W LAW JAMES W LAW ,
(N-rine of person acknowledging) (Name f arson acknowledging}
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(Signature of Notary Public-State of Florida} (Signature of Notary Public`;state of Florida)
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Personally Known ��OR Produced Identification Personally Known I !� OR Produced Identification
Type of Identification Produced Type of Identiflcatidn Produced
Commission No. .-..� tz
C6mmission No._%gyp �� �� (Seal)-
~ ANNE BROt. W LMACH +'"'- ANNE BROWN WALMACfi
m'CuMMISSIO #FF9B4663 ;?; 'mac"My COMMISSION#FFW4663
Revised(17!1$!2014r'IRES April 21,zona ,� �„ EXPIRES April 21,zozo
(407)no-at 59 FIpIdIlNft )7)M •M '
n'iCb,opm i (407 398t59
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW �,r• REVIEW REVIEW
DATE J I'!
COMPLETE I f
f INITIALS ,i {
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