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HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: /� Permit Numb / OR E �7� C- FRVEDBuilding Permit Application17 20Planning and Development Services 18 Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982Department Phone:(772)462-1553 Fax: (772)462-1578 Commercial R Co lnty FL i PERMIT APPLICATION FOR: Bedtrical PROPOSE© IMPROVEMENT LOCATION: � 1 Address: >' Legal Description: Property Tax 1D#: Lot No_ Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: ©HAILED DESCRIPTION OF WORK: Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: Adentionalworictabenerrarmed un ert is permit—check all appy: 'EIHVAC Gas Tank El Gas Piping _Shutters Q Windows/Doors P Electric Plumbing Sprinklers Generator Roof Total Sq. Ft of Construction: S of First Floor: i I Cost of Construction:$ . y e-'.> Utilities: Ft._Sewer Septic Building Height: OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp_ Name: James W Law Address: 8000 S US#1 Suite 402 Company. Law's Electric, Inc_ I City: Port SL Lucie State: FL Address: 218 Beach Avenue 5 Zip Code: 34952 Fax: City: Port St. Lucie State: FL t772-87B-5513 34952 772-878-3347 I Phone No. Zip Code: Fax: E-Mail: Phone No. 772-971-4592 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: ERODOO122 d If value of construction is$2500 or more,a RECORDED Notice of Commencement rs required. 6'd -8526-699-695 LV008L8ZLLMb'l e00:06 96 96 Inf 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: Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone: I certify that no work or installation has commenced prior to the Issuance of a permit. St Lucie County makes no representation that is granting a permitwill authorize the permit holder to build the subject structure which is in conflict with any appffcable 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 I 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,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 Commencenient must be recorded and posted on the jobsite before the first inspection.if you intend to obtain financing,con.sult With [lender or an attorney before commencing work or recording our Notice of Commencement 10"16're of Owner/Agent/kfissee nature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA 'COUNTYOF— SAINT LUCIE COUNTY OF. SAINT LUCIE The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this /4,day of -ZYU t–V 20 Liby this /6, day of pug-''20-Lfby JAMES W LAW JAMES W LAW (Name of person acknowledging) (Name of person-acknowledging) (Signatilre-bl'-Notary Public-State of Florida) (.signatom allotary Public-State of Florida Personally Known_OR Produced Identification Personally Known_OR Produced Identification Type of Identification Produced—_ Type of identification Produced Juft Law 66 NOTARY'Pus orrimlission No.--66,046735 Juliet Law Commission No- �F` B 0: J; _ NOTARY PUS": STATE JFLRI� Comme _.I STATE oE pr OM Expires 1111312020 C""G000731 i Revised 07/15!2014 Expires 11113M20 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW –dA—TE COMPLETE INITIALS Z'd eec:oL 86 94 Inp