HomeMy WebLinkAboutBuilding Permit Application • I I
ALL APPLICABI-E INFO POUSf 3E COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: Permit Number-
4"Y'.
u ber- !
Building permit Application
Planning and DevelopmentSenlices I
j Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:,(772)462-1578 Commercial Residential X
PERMITAPPLICATION FOR: Electrical I a
PROPOSED iNPROVEMENT LOCATION: {� ;
IAddress: L I'
'i Legal Description: I
!I Property Tax 1D#- 130 -111-0001-00015 ?(; 1'' I Lot No.
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4 Site Plan (`lame: I I i Block No_
II Project dame: 1
Sethacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK: °
Replace meter center with a combo pack
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CONSTRUCTION INFOEMATION: I
AuaitionaJworktobeoerforrnedunder tis permit—check all that appy: 1
HVAC Gas Tank FGasPiping _Shutters aWindows/Doors
PiEiectric Lei Plumbing Sprinklers Generator I Roof
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Tota Sq.Ft of Construction: Sq. Ft.of First Floor: I'I
Cost of Conatr,ction:$ Utilities:Ehewer EjSeii tic J �Buildi!ng Height:
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OWNER/LESSEE: CONTRACTOR:
Building Wynne Name Y S Co rP- Name: James UU Law
Address: 8000 S US#1 Suite 402 Company: Law's Oectric,I9nc. 1
City: Port St.Lucie State:FL Address: 218 Beach Avenue
Zip -ode: 34952 Fax: City: PortStlLucie I I I State: FL
Phone E40.1772-878-5513 Zip Code: 34952 L I r Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512I,j I
Fill in fee simple Title Holder on nek-t page(if different E-Mail: lawselectdcinc@aol_com
frorn the Owner listed above) State or County License: ER0000122
if vai ue of construction is$2500 or more,a RECORDED Notice of Commencement is required_ �
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: :/ Not Applicable MORTGAGE COMPANY• Not Applicable
Name: Name: I .
Address: Address: it 1
City: State: City: II I State:
Zip.: Phone- Zip: II Phone I
FEJ.SIMPLE TITLIr HOl.E)ER: _�L/ NotApplicable BONDING COMPANY:! 1 _[Not Applicable
Name: Name: I�
Address: Address: II i
Zip City: Phone: Zip: IlPhone•
1 certify that no work or installation has commenced prior to the issuance of a permit-
St
ermitSt Lucie County makes no representation that is I '
fl granting a permit will authorize the permit holder to build the subject structure
which is in con ict with any applicable Home Owners Assoaation rules,bylaws or and covenants!that may restrict or prohibit such
structure-Please consult with your Home Owners Association and review your deed fo Many restrictions which may apply-
in consideration afthe granting ofthis requested permit,I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lude CountylAmendinents. I
The following building permit applications are exempt from undergoing a full concurrenlcy review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessoryuses to'another'non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Crnnmeneement mayresult 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;Iende-or am attomey before
commen in work or recordingour Notice of Commencement. 1
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Sig ture of Owner/Agent/Lessee ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA i
COUNW OF SAINT LUCIE COUNTY OF II SAINT LUCIE
The forening instnfinent was acknowledged before me The fore rig instru I n;w 'acknowledged before me
thi ay of [ r7�_ 202Zby this By
of oD�� ;� I 20a by
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JAMES W LAW JAMES W LAW
{ e of person acknowledging] (N of person 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 OR Produced Identification
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Type ofidentification Produced Type of Identification Produced 1
Commission No. Ff`1 k_! 66f(_-3 Commission No. (Seat)
ANNE BRO WAI- OCH l
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION.I SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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