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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED q Permit Number: �/I 01;� 122�1 Budding Permit Application Planning and Deveiaprneet Services FED 2*6 2018 Building and Cade Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-3553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical -? PROPOSED INPROVEMENT LOCATION: Address: j Legal Description• Property Tax 1 D#. 3427-111-0002-000!5 Lot No. Site Plan Name: Block No. Project Name- Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION of WORK: Replace meter center with a combo pack CONSTRUCTION INFORMATION: Additional work to be ne rmed under this permft—checic all t=appy: ❑HVAC Gas Tank MGas PipingOGenerator Shutters GI Windows/Doors Ir.I Electric Plumbing Sprinklers LSI Roof Total Sq.Ft of Construction: S .Ft of Firstjj��F1'o''��or: Cost of Construction:$ �` � . o Utilities: Sewer L_lSeptic Building Height: OWNERJLESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Law Address- 8000 S US#1 Suite 402 Company: Law's Electric, Inc. City: Port SL Lucie State. FL Address: 218 Beach Avenue Zip Code: 34952 Fax: City: Port St Lucie State: FL Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347 E•-Mail: Phone No. 772-9714512 - Fill in fee simple Title Holder on next page(if different E-Mail: lawselectrieinc@aol.com from the Owner listed above) State or County License:: ER0000122 If value of constsnction is$2500 or more,a RECORDED Notice of Commencement is required. i t d -8921-699-698 ZliSS8Z9ZZZAAV 1 6190:06 86 9Z 9e= SUPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION: DESIGNERf ENGINEER: _Not Applicable MORTGAGE COMPANY: "Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: . Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: city- City: ZIP: Phone: Zip: Phone: OWNER/CONTRACTOR AFFIDVIT:.Application is hereby made to obtain a permitto dothe work and installation as indicated. I certify that no work or installation has commenced priorto the issuance of a permit. s L:e Counttyy makes no representation that is granting a permitwiil au1onze theEran snithalderto build the subject structuwhich ism conflict with any applcable}come Owners Asaatian rules, wsornovenants tuch structure.Pleaseconsulturth your Home Owners Association and revewour deed y 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.Lucie County amendments. The following building permit applications are exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,wafts,signs,screen rooms and accessory usesto 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 recordedandposted on the jobsite beforethe first inspection.if you intend to obtain financing,consult with lender or an attorney before commencing work or recordinavour Notice of Commencement 149 ature of Owner/Agent/Lessee ' ature of Contractor/license Halder $TATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST.WC1E ' COUNTY OF ST. LUCIE -rheforgoinginstrur= twasacknowiedg_ed-beforeme Thefongainginstrument was acknowledged before me this 2g_day of .ZOLZby this„` day of JAMES W LAW JAMES W LAW (Name of person adlmembdging) (Name of person ftrtbMedging) (Sg ofjilotary Public-State of Florida) {Signature bf Notary Public-State of Florida} Personally Known '✓ OR Produced Idenhficadon Personally Known '✓ -OR Produced Identrfication Type of Identification Produced Type of Identification Prodvaed '� JUtiet Law CommTssion Ivo, 6:C-dC/(e Seal commission i11o_ ,C©'�,��� - { ) NOTARY PU13L Jwiet Lew A%-STATE Cam"*00046735 STATE OF FLORjpA Reyised 071151201. Expires 11/13/2020 Cc+"00048735 020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE . RECEIVED LIC ATE QIU1PL I to Z'd -892 6-699-699 /top,8L8ZLLMVl e90:0L 9L 9Z qac