HomeMy WebLinkAboutBuilding Permit Application I I'.
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED J
Date: �� n –p Permit Number:-
Building
Imber Building Permit Application
IPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial I Residential X
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PERMIT APPLICATION FOR: Electrical 0
.ROPOSOMPROVEMENT LOCATION:
Address:
,!Legal Description: i
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Property Tax ID#: 3414-501-1701-000/9 611 ! Lot No.
`Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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:DETAILED aESCRIPTION`OF. OR ..
Replace meter center with a combo pack at each address
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:::CONSTRU,,CTION I:NFORI\t1ATION
Additionalwork to (ee orme un er this permit–check a appy:
HVAC Gas Tank ❑Gas Piping Shutters Windows/Doors
Electric M Plumbing Sprinklers F]Generator Roof
Total Sq.Ft of Construction: SQ.Ft.of First Floor: E
{Cost of Construction:$ /�C C:�.e3 0 Utilities: —Sewer r ptic Building Height:
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!OWNER/LESSEE: ICONTRACTC}R-1
(Name Wynne Building Corp. Name: James)W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc.
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City: Port St. Lucie FL 218 Beach Avenue 1I
ICI State: Address: �.
Zip Code: 34952 Fax: City, Port Si.Lucie State: FL
'Phone No. 772-878-5513 Zip Code: 34952 Fax. 772-878-3347
E-Mail: Phone No. 772-971-4512 (l
Fill in fee simpie"ritle Holder on next page{if different E-Mail: lawseiectricinc@aot.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. j
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
'DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY- ✓ Not Applicable
Name: Name:
.Address: Address:
City: State: City: State:
Zip: Phone: Zip: I Phone:
FEE SIMPLE TITLE HOLDER: t/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone-
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I certify that no work or installation has commenced_priorto the issuance of a permi
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,l do hereby agree that 1 will,in all respects;perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendment's.
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
-commenting work or recording our Notice of Commencement.
Si re of owner/Agent/Lessee Signature of Contrictorl4cense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF I SAINTi;LUCIE_
The forgoing instrument was acknowledged before me The forgoing instrurogntWiis acknowledged before me
this ay of —20`[-bp this, 5 day of _ - 20/*by
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JAMES W LAW JAMES W LAW
(N a of person acknowledging) (Name f erson acknowledging)'
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(Signature of Notary Public-State of Florida) (Signature of Noiry Public-State of Florida)
Personally Known ✓OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced '
:Comission No. 9 __ � Commissio
mn No__ Seal)-
. ,....,.
ANNE BROWN W LMACH R7,.
ANNE BROWN WALMACH
SSION#FF984663 MY COMMISSION#FF984663
Revised 47/15/2414 EXPIRES April 21,2020 1407)39&0163 Fiorballota , ,, EXPIRES April 21,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION ISEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW i REVIEW REVIEW
DATE
COMPLETE
INITIALS