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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- Permit Numbe :
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JUL 2 5 2018
..�_.,,:�=�---� Building Permit Application
Permitting Department
Planning andDevelopmenrServices St. Lucie County, FL
Building and Code Reguiation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
El-
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description:
Property Tax lD#: 3427-111-0002-000/5 Lot No
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: RightSide: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
Additional work toe o2rrormed under this permit—check a appy:
E1HVAC 06a-sTank ❑Gas Piping _Shutters LQ Windows/Doors
Electric E3Plumbing Sprinklers n Generator a Roof
Total Sq_Ft of Construction: SCI.Ft_of First Floor:
Cost of Construction: 60, C9c-,) Utilities:0Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: .tames W Law
Address: $000 S US#1 Suite 402 Company: Law's Electric, Inc.
City: 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 feesimple Title Holder on next page(if different E-Mail: lawselectdcinc@aol.com
from the Owner listed above) State or County License: ERC000122
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
8'd -8526-699-695 Ltp,09L8ZLLMV-1 dto:Z6 96 9Z Inf
SUPPLEMENTAL CONSTRUCTION LIEN LAW IN FORMATION:
DESIGNERIENGINEER: /,_,_Not Applicable PAWITGAGE COMPANY: :2'Not Applicable
Name: Name-
Address: Address:
city- State: City: State:
Zip., Phone: Zip: Phone:
FiME SIMPLE TITLEHOLDER: z' Not Applicable BONDING COMPANY: Not Applicable
Name., flame:
I Address: Address:
City- City: Phone:
T,p,- Phone: Zip:
OWNER/CONTRACTOR AFF1111VIT.Application is hereby made to obtain a permitto do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit
such
perform the work
permit holder to build thesubject structure
St.Lucie bits
vulch is m cariiiictvutth a applicable Home Owners Assoraatton rotes,Irytaws ar and covenarrts that may restrict or
in consideration of-the granting of this requested permit,I do hereby agree that I will,in all respects
in accordance with the approved glans,the Florida Building Codes and St-Lude County Amendments.
The following building permit-applications are exemptfrom 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 OWNElk Your failure to Record a Notice of Cominencernent way result in your paying twice for
improvements to your property.A Notice of commencement must be recorded and posted on the joWite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing ark or recordiriffyoto Notice of Commencement.
5' azure of Owner/Agentl LesseeWnature of ContractorlUcense Holder
STATE CIF FLORIDA STATE OF FLORIDA
COUNTY©F
ST.WCIE COUNTY OF ST.LUCIE
The forgoing instrument was acknowledged-before me Theforgoing„, me
this
ay
JAMES W LAW JAMES W LAW
(Name of person admovAkadgirg) (Name of person AMM61edging)
(ST,igT1 - lim- (Signature Notary Public-State of Florida)
n NoteryPubF�t f
personally Known OR Produced Ideritflication Personally Known lv**” OR Produced Identffication
Type of Identification Produced —7 Type of Identification Prodned_
com ff Assil a n No-��b JtAet Law Commission (Sea])
NOTARY pUSUI 4MR46 Aft Law
I ATE OF FLOROA NUFARYPuatje
Revised 0711512014 • CWvWGG048M- STATS OF FL0ftj0A
Expires 9111 flon CoMrf*04104MM'
Cxplres 11/131
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MA
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Rmsed 0711
COUNM REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
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