HomeMy WebLinkAboutBuilding Permit Application • II
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: /U �744 Permit Number: ' O
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Aven ue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical a
PROPOSED INPROVEMENT LOCATION:
Address: 2&,5" r- 13F 74ccs
Legal Description:
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Property Tax ID#: 1301111-000'1-00016 Lot No.
Site Plari Name: Block No.
Project Name:
5etbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF.WORK:
Replace meter center with a combo pack at each address
1
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CONSTRUCTION INFORMATION:
Adaitional work to be r2prtorrned under this permit—check all appy:
HVAC Gas Tank Gas Piping _Shutters D Windows/Doors
A
Electric Plumbing Sprinklers E Generator Roof
Total Sq. Ft of Construction:_ 5 Ft.of First Floor:
0 Utilities: F-1SepticBuilding Height:
i Cost of Construction:$
i OWNER/LESSEE:-' CONTRACTOR:
Wynne Building Corp- ames W Law
I Name Y 9 P- Name:
8000 S US#1 Suite 402 Law's Electric, Inc_
i� a Address: Company:
i City: Port SL Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucie State: FL
n Phone No_ 772-878-5513, Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No_ 772-971-4512
Fill in fee simple Title Bolder on next gage (if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required-
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERIENGINEER: V-Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City: state. City: State:
Zip: Phone: Zip. Phone:
FEE SIMPLE TITLE HOLDER: L/Not Applicable BONDING COMPANY: ; Not Applicable
Name: Name.
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDUM Application is hereby made to obtain a permit to do the work and installation as indicated-
1 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 permit will authorize the permit holder to build the subject structure
which is in conflict With any'applicable 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 ofthe 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 roams 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 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
-commencing work or recordingyour Notice of Commencement.
Sign re of.,Owner/Agent/Lessee Sig5o(xire of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
14TY OF COUNTY Oil —
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The forgoing instru ent was psknowledged before me The foreping ffistno—iya M6�-..._._2-Ofr
sckpowledged before me
E-Ag of a thl by
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(Name of person acknowledging) (Name of person acknowledging)
I& aturVof Notary Public-State of Florida {Si tXof Notary Public-State of Florida)
Personally Known &--,-O, R Produced Identification Personally Known A—" OR Produced Identification
Type of Identification Produced e of Identification Produced
1JRNOTARY. Jum Law
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Commission No. STATE OF FL61111ffission No- PUBLIC
NOTARY
WGC-046735 STATE OF FL0,R I 'A
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Revised 6 01711512014 sf
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED .1
L1LATE
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