HomeMy WebLinkAboutBuilding Permit Application i V
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ALL APPLICAS'-E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED E
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Date:,711� - G # c�'C77 Permit Numb r_
JAN 22 2019
Building Permit Application Permitting Department
Planning and DevetopmentSenrces St. Lucie county, FL
BEtWing and Cade Regulation Division
2300 Virginia avenue,Fort Pierce FL 34382
Phone:(772)462-1553 Fax:(772)4521.578 Commercial Residential X
PERINAIT AP?'ICATION FOR: Electrical L_l
PROPOSED INPROVEIVIENT LOCATION-.-
Address: cf
Legal DEscripti:)n:
Property Tax ID# 1305-i f I-QOL?1-OOOfS ='t Lot No_
Site Plan Name: Block No.
Project dame:
Setbad:s Front Back: Right Side: Left Side: ,
DETAILED LIESCRi P-66N OF WORK:
Replace rieter center with a combo pack
CONSTRUCTION INFORMATION:
Ad-dFtional wor checK a iat app y=
OHVAC Gas Tank nGas Piping _Shutters Windows/Doors
Y` Electric 0 Plumbing Sprinklers Generator U Roof,
1
Tota:Sq-Ft of Construction: Sq_Ft-of First Floor:
Cost of Canstr-_ctton:$ ,�3+ 00 _ utilities:nlo
Sewer i�.1Septic Building Height:
QVVNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 80C'a S US#9 Suite 402 Company: Law's i=leciric,lnc_
City: Port St Lucie State: FL Address: 218 Beach,Avenue
Zip Code: 34952 Fax: City: Port St.Lucie State: FL
Phone Fdo. 772-8-18-5513 Zip Code: 3 952 Fax: 772-878-3347
E-lVaiL- Phone No. 772-971-4512
Fill in fee simple Title Holder on ner:t page(if different E-Mail: lawselectricinc aL7aol_com
from tte Owner listed above) State or County License: ER0000122 `
IPvalue or construction is$5Qt1 or more,a PICORDED Notice of Comrnensement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI mAIER/ENGINEER: NotApplicable
MORTGAGE CorviPANY: _1��NcvtApplicable
Name: Name-
Address- Address:
City: state: City: State:
Z71p: Phone: Zip: Phone.
FEE SAMPLE TITLE HOLDER-- I/Not Applicable BONDING COMPANY: ;;N7 of Applicable
Name: Narne:
Address: Address:
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 no work or installation has commenced prior tothe Issuance of a permit
St_Lucie pountv makes no representation that is granting a permit Will authorize the permit holder to build the subject structure
wbichisin contlictifAth any-applicable Home OvirfiersAstociation rules,bylaws orand covenantsthat may resttictor prohlbitsuch
structure.Please consult with your Home Owners AssocIatibn and review your deed for any restrictions which may apply.
In consideration ofthe granting of this requested permit,I do hereby agree that twill,in ail respects,perform the work
iii accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments_
Thefollowing building permit applications are exemptfrbm undergoing a UI concurrency review:room additions;
accessory structures,swimirriffig 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
ithpi-evements to your property-A Notice of Commencement must be recorded and posted on the jobs3te
before the first inspection-If you intend to obtain financing,consult milth lender or an attorney before
dommencing work or recording our Notice of Commencement-
sign. re of Owner/Agent)Lessee Sig re of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORJDA
-
COUNTY or- COUNTY OF
The forgoing 1 t mips.acknowledMO before me Thef Pqing-instn3P-jP, was zqkqpwledged before me
this;,Ae2day
thl, -7
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(Name of person acknowledging) {Flame of Person acknowledging)
Faturl?of Notary Public-State of Florida IS11 eat; of Nata%iiState of Florida
Personally Known &-- Oft Produced Identification Personally Known i-- OR Produced Identification
Type of Identifficatiton Produced----:- T e of Identification Produced
'I WMAM, IC
agc M - --Julet Law
Commission No_ Cs` -STATE OF FLOR� 3-5 4*9�- W)TARY PU60
U&iiwGic.046735_%sion NaNo - "q
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STATE F F4
We - Exrilresi'll;L2020 OF MCI, A
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Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
-RECEIVED
DATE
COR4PLETED
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