HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit N unh
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Building Permit Applicati:)n
APR 18 2018
Planning and DevelopmentServices
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue,Fort Pierce FL 34982
phone_
(M)462-1553 Fax:(772)462-1579 Commerdal RgicW0 Colgity, FL
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax I D#: 13D111Lot No_
SitePlan Name: Block No_
ProjectName:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack:
CONSTRUCTION INFORMATION:
AdOrtlonal work to be performed under this permit-Check all tba—t -
0 appy:
0HVAC FIGas Tank Gas Piping Shutters Windows/Doors
ZElectric Ellumbing ElSprinklers Generator Roof
Total Sq.Ft of construction: Sq.Ft-of First Floor:
Cast of construction:$ _
�,en<)- Uti�rtles:OSewer F iseptic Building Height:
OWNERAESSEE: CONTRACTOR:
Name�.Wynne Building Corp- Name: James W Law
Address- 8000 S US#I Suite 402 Company: Law's Electric.Inc-
(3tv^- Port St.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- 772-971-4512-
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: EROODO122
if value 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.,
Address: Address:
City: State: city. State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER; -p—/ Not Applicable BONDING COMPANY: Not Applicable
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Name: Name:
Address: Address:
City: CTL-j:
Zip: -Phone: Zip: Phone:
I certify that no work or installation has commenced.pifor to the issuance of aperrnit
St Lucie Cou" makes no representation that isgrarWriga permit will authorize the permit holderto build the subject structure
which is in conflict with any applicable Home Owners Assodatlon rules,bylaws or and covenants that may.restrict or probut such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in consideration ofthe granting of this requested permit,I do hereby agree that I vall,in all respects,perform the work
in accordance with the approved plans,the Florida Building Cozies 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,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER".Your failure to Record a NaUce 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
commencinp,work or recording your Notice of Commencement.
0
S9 of owner/Agent)Lessee Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
CouNTY-or-_SAINT WCIE COUNTY CIF SAINT LUCIE�
try
The ib—Ing instrumentwas ac!®rftclged before me The fomoing insie;ytmas acknowledged before me
_eV g'
thfso4z�ay of 2OZF-b3r this ay of
n- —2QA -by
.,JAMES W LAW JAMES W LAW
{Nejof person acknowledging O (Na n acknowledging Y
,- ,
0,
{blame
er's
(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida
Personally Known OR Produced Idenifficallon Personally Kn6wn '-- OR Produced Identification
Type of Identification Produced Type of Identification Prciduce4,..���
Commission No. commission No._ F_ (Seel)-
AINN613RO�WN W�LMACI�4
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N#FF9W63 My COMMISSION N FFS846B3
Revised 07/15/2014 ....... EXPIRES Aprg 21,2u2o EXPIRES Apo 21,2020
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
—6A—TE
COMPLETE
INITIALS
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