HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. , z0 SCS Permit Number;
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:- li
Address: I i
Legal Description: �!
Property Tax ID#: 1301-111-0001-000/5 L Lot No.
Site Plan Name: ! Block No.
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Project Name:
Setbacks Front Back: Right Side: Left Side: i
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DETAILED DESCRIPTION OF WORK::
Replace meter center with a combo pack j
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CONSTRUCTION INFORMATION: j
Additional work to be nertormed under tispermit—check all appy:
HVAC Gas Tank Gas Piping _Shutters ; Windows Doors
nV Electric 0 PlumbingSprinklers Generator i Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
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Cost of Construction:$ ,.-.1 Gb Od Utilities: LiSewer Septic I; Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James;W Law.
Address: 8000 S US#1 Suite 402 Company: Laws Electric Inc.
City: Port St Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St. Lucie; State: FL
Phone No. 772-878-5513Zip 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: lawsefectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.'i
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY: ✓ Not Applicable
Name: Name:
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Address: Address:
City- State: City State:
j: Zip:
Phone•. Zip: Phone:I
EEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY:; _Not Applicable
Name: Name:
Address: Address:
City: City:
Trp: Phone: Zip: Phone:
1 ceW 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 toy 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 1 will,in all respects,perform the work
in accordance-with the approved plans,the Florida Building Codes and St.Lude 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 lin 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 lend ei or an attorney before
commencing work or recording our Notice of-Commencement.
Sig tune of Owner/Agent/Lessee A&ature of Contractor/Ucense Holder
STATE OF FLORIDA STATE OF FLORIDA
-COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE- .
The fnr ping i merit was acknowledged before me t Th lb mg in n,1}ent ms acknowledged before me
this; ay :•b thayof s 20,A7:by
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JAMES W LAW A JAMES W=LAW
( e of person acknowledging) 17 of person acknowledging)':
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(Signature of Notary Public-State of Florida) ( ignature of Notary Public:State'of Florida)
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Personally Known ✓ OR Produced Identification Personally Known OR Produced Identifikation
-Type of Identifiicatioo Produced Type of identification Produced
Commission No. �� ��3 Commission
WALMACH •,
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REVIEWS FRONT _ ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW j REVIEW REVIEW
DATE
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