HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �0 ::..2-6./ Permit Number: (AO le-O o 5
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Building and Code Regulation Division 4�s� ent
2300 Virginia Avenue,Fort Pierce FL 34982
i Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Electrical - ' H
PROPOSED INPRO'JEMENT LOCA/ ms TIION:- j
Address:
_ .Z) 2)_,a,a2-e_,
Legal Description:
Property Tax ID#: 1301-ti 1-0001-000/5 =? C.- Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Righ=Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack_
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CONSTRUCTION INFORMATION: -
..itiona wcr to .e pe orme. un•ert is permit—c ec a .,-app y:
EIHVAC _Gas Tank nGas Piping _Shutters I i Windows/Doors 1
ElElectric ❑Plumbing Fl Sprinklers 0 Generator El Roof:
Total Sq. Ft of Construction:V 59_Ft.of First Floor:
OO
Cost of Construction:$ O ' e Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: V CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc_
City: Post St. Lucie I State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: V Port St. Lucie State: ;FL
Phone No. 772-873-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail Phone No.
T72-971-4512
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: 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:
DESIGNER/ENGINEER: ° s/.Not Applicable MORTGAGE COMPANY: r,/ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
1 I
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: City: II
Zip: Phone: Zip: Phone: I
II
I certify that no work or installation has commenced prior to the issuance of a permit.
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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 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 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.
le•Alf - Q-K..-- :4/ ,4-;g4.yilee-/- I
nature of Owner/Agent/Lessee nature of Contractor/License Holder •
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE. 1
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
20 / b this-...7e day ofp,144:", 204Z by
this�7 day�f y -
JAMES W LAW JAMES W LAW '
(Name of person acknowledging) (Name of .- : - •.wledging)
.,C:tPublic-State of i w\of NotaryPublic-State of Florida
fr--
(Signature Notary Florida)) ( g )
Personally Known OR-Produced Identification Personally Known OR Produced Identification
Type of Identification Produced „a Type of Identification Produced
•1. NOTARY PU3LIC o< NOTARY PUBLIC
Commission No. GG 046735 ii .: STATE OFF_ ��ission No., GG 046735 & �', STATE OF FLORI
�' �'` `-Comm#00046735 .
11‘...t..,.,e- 1
• . ..�..,. . Comm#00048736
• •
,�' Expires 11/13/2020 i:Jiti'
Expires 11113/20 j
•Revised 07/15/2014
REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE .
COMPLETE ,
INITIALS