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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED i Date: A� Permit Number_ 1 .�SY. %:• %I RECEIVED BuildingPit Application erm �p SPR Q 3 7018 Planning and Development Sendces Building and Code Regulation Livision Permitting Department 2300 Virginia Avenue,Fort Pier•:e FL 34992 St. Lucie Countv Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT AP')?ICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION:- Address: Legal DEscripti fin: - 130'.-11 i-0001-00015 ? (; Lot No. Propertv Tax ID#: Site Plan Name: Block No. Project-dame: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack _ l CONSTRUCTION INFORMATION: d}}'�itiona workto e�e( orme under tispermit—c ec a t appy: FIHVAC L`J Gas Tank ❑Gas Piping _Shutters a VYindovvs/Doors Electric Plumbing Sprinklers [J Generator Roof Tota' Sq.Ft of Construction: S Ft.of First Floor: Cost of Constr•_ction:$ J` ©�- JCS Utilities:InSewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Nacre Wynne Building Corp. Name: James VV Law Address: 8000 S US#1 Suite 402 Company: Law's Electric, lnc. OW: Port St Lucie State: FL Address: 218 Beach Avenue Zip =ode: 34952 Fax: City: Port St.Lucie State: FL Phone ND- 777-878-5513 Zip Code: 34952 Fax: 772-878-3347 E-Wail: Phone No. 772-971-4512 Fill in fee simple Title Holder on ne}:t page(if different E-Mail: lawselectricinc@aol.com from the Owner listed above) State or County License: ER0000122 T' if value of construction is$2500 or more,a RECORDED-Notice of Commencement is required. a 4 6•d -8926-699-699 Lt608L8ZLLMV-1 ett:80 86 00 add SUPPLEMENTALCONSTRUMON LIE14 LAW WFORMATION: -bE-SIGNERIENGINEM- blot Applicable MORTGAGE COMPANY: -ZNot Applicable Name:, Name: Address: Address: cfw-- - -state: CW. State- Zip: Phone: ZIP: Phone: FEE SI MPLE TITLE HOLDER: Not Applicable BOND114G COMPANY: Nat Applicable Name. Name: Address: Address: city-^ City: T,P: Phone: Zip: Phone- OWNER f hone:OWNER/CONTRACTOR AFRDVff-.Applications is made to obtain 2 permtto dothe work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of;ape permit. s,__L 2un re h � co c h _Pie in consideration of-the granting ofifts requested permits I 4o hereby-agree that I uffil,in all respects,perform the work in-accordance VAh the approved p;arz!4 the Florida Building Codes and St Lucre countVArnendments. 11-ie following building permit applications are exemptf1rom undergoing a full concurrency rexdlkw-1 room additions, accessory structures,selmrining pools,fences,walls,signs,screen roams and accessory usest6 anothernon-residential use WARNING TO OWNER:YourfaIjureta,Record a Notice of Commencement may result in your paqjngtMce for improvements to your property.A Notice of commencement must be recorded and posted on the jobsite before the first inspecdon.!If you intend to obtain financing,consult vAth lender or an attorney before commencing work or recardinmyour Notice of Commencement. a ature of owner/Agentl Lessee aCureofContracYorjLicenseHafder tur STATE OF FLORIDA STATE OF FLORIDA COUNTY OF ST.WCIE COUNTY OF Sl_LUCIE -fhef orgD!ng instruvnentwas acknowledMdbefore me The forgoing InAwment was acknowledged before me 2QyS_jby of JAMES WLAW JAMES W LAW (Mame of person a&mzw*ad87Jn9] (Name of person alfto*ledd I ure T51— RllotaryPdblic-State ofFlorida) gnat1Uye1&W,7 Notary PUblit-State Of Florida) Personally Known V. ***' OR Produced Identification, Personally Known �OR Produced Identification Typeof identification Produced. 'Type of Identification F!rodvae4__ Commission Jud Law Commission NO- (Sea[) NOTARY pUSLW, Aft Law DIATEOFFLOR10A ARY SUC -C Revised 07/1512014 COMO G04e.M--- S TE OF FLORjOA Expire&i iliwmrr- t:xplrft Jill REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETAnoN SEATURTLE M ME&E COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW RECEIVED DATE COMPLETED Z-d Lt?M/KiLMV1 ,tt�qo 91, 00 1dV