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HomeMy WebLinkAboutBuilding Permit Application - f I ALL APPLI BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I j Date- .IT2 !! Permit:;Number': R1 ECM7214VED V, Building Permit Application +' Planning and Development ServrcesDEC 0 + 2017 Suilding and Code Regulation Division PEt ilnlTTING 2300 Virginio Avenue,Fort Pierce FL 34982 ; St. Lucie Co qty, FL Phone:(772}462-1553 Fax: (772)462-1578 Commercial Residential I PERMIT APPLICATION FOR: Electrical PROPOSED 1NPROVEMENT LOCATION: i Address: el6kA Legal Description: Property Tax ID#• 130.6111-0001-000/ Eat No. ! Site Plan Name: I I Block No. - � t Project Name: f Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack ' I i i CONSTRUCTION INFORMATION: . (t;!ona wor to e e orme un er t ;s permit—c ec a appy: I i DHVAC -,Gas Tank Gas Piping Shutters; ( a Windows/Doors Electric 0 Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: Sq_Ft.of First Floor: Cost of Construction:$ -6-CIV, oG Utilities: []Sewer LA Septic!', Building Height: OWNER/LESSEE:` CONTRACT(iR: ; f4ame Wynne Building Corp_ Name: James W Ll a'w Address: 8000 S US##1 Suite 402Company: Law`s Electric, Inc. City: Port St_ Lucie Stater FL Address: 219 Eieacq$venue, i Zip Code: 34952 Fax: City: Port St. Lucie I State: FL I Phone No. 772-878-5513 Zip Code 34952 i.'! Fax: 772-878-3347 E-Mail: Phone No_ 772-971--4!512 Fill in fee simple Title Holder on next page (if different E-Mail: lawselectn,,"6inc@6of.com from the Owner listed above) State or County,Licensei°:, ERb000122 1 If value of construction is$2500 or more,a RECORDED Notice of Commencement is,required. I I L'd -8521-699-699 LVE68L8ZL MVI dCL:90 LL -V0 oea 1, i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANYz ✓ Not Applicable Name_ Name: Address: Address: L City: State: City: !'r:' State: Zip: -Phone: Zip: !Phone FEE SIMPLE TITLE HOLDER: _L./ Not Applicable BONDING COMPANY: j _.k/Not Applicable Name: Name: Address: Address: 1 City: City: Zip: Phone: Zip: !Phare: i I certify that no work or installation has commenced prior to the issuance of a permit. i ' St.Lucie County makes no representation that is granting a permit will authorize the'pem�it holder to build the subject structure which is in conflict with any applicable Home Owners Association rules,bylaws or and eovenan!s that may restrict or prohibit such structure.Please consult with your Horne Owners Association 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.Lucie County Amendments- j The following building permit applications are exempt from undergoing a full concurrentreview: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'jender"'or an attorney before commenging work or recording our Notice of Commencement. Sig tune of Owner/Agent/Lessee nature of Contractor/License Holder STATE OF FLORIDA - STATE QF''FLORIDA j COUNTY OF SAINT LUCIE �I COUNTY OF SAINT LUCIE The fargning instrument_was acknowledged before me The forgoing instFugient wasacknowledged before me this— ay of CA0e—; 202�Z-by, thi r ay of r. ��� !I: 120�by .. _ ,LAMES W LAW JAMES W LAW � ( e of person aclmowledging} { of person acknowledging) f Ind it , L �r^ ! {Signature,of Notary Public-State of Florida y ( ignature of Notary',Public 'State of Florida) Personally Known ✓• OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. FF Commission No._.�� '��,� (seal)' , r - AM SRO W+4LI14/4CH •;* EXPIRES APO(21,202o BS8 MY COLIMISSION#FF964683 Revised©7115/2014 Lao,3 sao1sa FbQaN ?os„�•' EXPIRES APOI21,2020 i RL-VIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION;', SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW T REVIEW f REVIEW ,'REVIEW DATE i _. COMPLETE !, y y41, INITIALS j I ” I Z'd -89ZL-L99-L95 I LtE88Z8ZLLMV1 do L:90 LL t0 080