HomeMy WebLinkAboutBuilding Permit Applicaiton (2) 1
ALL APPLICAB_E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: mac" 4177y o2-f7 4s, Permit Number. I Oto-- 0913
Building Permit Application
Planning and Development Services
Sulking and Cade Regulation Civision
2300 Virginia/Avenue,Fort Pier:e Fl.34982 •
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical - .
PROPOSED INPROVEMENT LOCATION:. _ •
Address: 7
77 ,.,—.(Ac,i,) �.P 1 .)Z1r7 e;
Legal Descripti]n:
I Property Tax ID#: 1301-111-0001-000/5 -2 C_ • Lot No.
Site Plan Mame: Block No.
Project Name:
Setbacics Front Back: Right Side: Left Side:
'1 DETAILED DESCRIPTION OF WORK: i
iReplace meter center with a combo pack _._
I CONSTRUCTION INFORMATION:
1I t Additional work to be erformed unaerthis permit—check all:Ila apply:
l
' T1HVAC IIGas Tank Ekes Piping Shutters a Windows/Doors
V Electric .�Plumbing Sprinklers _Generator 11 Roof
Tota;Sq. Ft of Construction: ST Ft of First Floor:lo
Cost of Constr.action:$ 6,0-. Oa Utilities: _Sewer 1-1 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.
City: Port St Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucie State: EL
Phone No. 772-878-5513 I Zip Code: 31.952 Fax: 772-878-3347
E-IVail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectncinc@aol.com
from the Owner listed above) State or County License: ER0000122 i�
if value of construction is$2500 or more,a RECORDED Notice of Commencement is required_
i
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION=
DESIGNER/ENGINEER: V NotApplicable MORTGAGE COMPANY: r/Not Applicable
Name: Name:
Address: Address:
City: State:
State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDINGCity= COMPANY: r"--Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated_
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 permit will authorize theermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or andcovenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply_
Iii consideration of the granting of this requested permit,I do hereby agree that l 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 pen-nit 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 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 recording your Notice of Commencement.
•11. � ��
Signa re of Owner/Agent/Lessee Sig ure of Contractor/License Holder
STATE OF FLORIDASTATE OF FLORIDA
COUNTY OF r c_did
'./ COUNTY OF Oji
The forgoing instru -w a knowledged before me The forgoing instnurnit s a owledged before me
this.-0-slay of_ E- ' 2Di by thia. ayo tf., ..„ - _ QiS.L 7q j,by
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(Name of person acknowledging) [Name of person acknowledging)
. SZ)_./_ ) . •
[ i atur of Notary Public-State of Florida) (Si atu of Notary Public-State of Florida)
Personally Known ✓OR Produced Identification Personally Known i• OR Produced Identification
Type of Identification Produced . . _. JuriZ$. Law �Ty pe of Identification Produced
'' �• .i- PUBLIC
Commission No. �TL`� -�c `.;• ` STATE OF'FLO o.;i --Juliet Law
RTftssion No_ GG D 6 _ NOTARY PUBLIC
�.,.. Comm#G0046735 _ .;-40?::;
' STA E OF FL RI A
l' Expires 11/13/2020 - + CommitCG84€r
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Revised 07/1512014 'Fres 11113[2 0
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED i
DATE
COMPLETED
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