HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB:E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .All :,e / I-9( -0/ c.,7-2)...___Zy, 1 a5
-, Permit Number:
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RECEIVED _
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• 1 Building Permit Application
Permittln
MAR 05 2016
Planning and Development Senrkes
Building rind Code Regulation Division St. Lucie Cow*
2300 Virginia Avenue,Fort Pier:e FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
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PERMIT AP?LICATION FOR: Electrical - .
PROPOSED INPROVEMENT LOCATION:-
Address: • __, ...04_,i . .." - 1:/)t, - 0, / s. - •
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Legal Descripti 3n: . 1
Property-Tax i')It: 1301-111-0001-000/5 -2_ (._;. Lot No_
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK: -
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Replace meter center with a combo pack - .. 1
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CONSTRUCTION INFOF:MATION:
Additional work to be ertormed under this permit—check all the apply: -
I 1HVAC Gas Tank IGas Piping L- Shutters ri Windows/Doors
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V Eectric i Plumbing EliSprinklers Generator Roof
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Tota Sq. Ft of Construction: STA. of First Floor-
Cost of Zonstr.:ction:$ 00 Utilities:I Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
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Name Wynne Building Corp_ Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc_ I
City: • Port St. Lucie State: FL Address: 218 Beach Avenue
Zip :ode: 34952 Fax: City: Port St Lucie State:ii FL
Phone No_ 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
-45 ;I
E-Mail: Phone No_ 772-971 12 I
Fill in fee simple Title Holder on next page (if different E-Mail: lawselectricincgaol.com
from the Owner listed above) State or County License: ER0000122
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If value of consi:ruction.is$2500 or more,a RECORDED Notice of Commencement is required_
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
1 DESIGNER/ENGINEER: , Not Applicable MORTGAGE COMPANY: V Not Applicable
I Name: Name: ,..
Address: . Address: ,
City: State: City: State:
' Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: k/ Not Applicable BONDING COMPANY: V Not Applicable
Name: Name:
Address: Address:
,
City: City: ,I
Zip: Phone: . Zip: Phone:
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 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 Florjda 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.
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Si E.10IrtUre o Owner/Agent/Lessee Si-./.tore of Contractor/License Holder • ii
STATE OF FLORIDA . -- STATE OF FLORIDA
COUNW OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was ack owledged before me The forgoing instrument was acknowledged before me
this •V day of (-772 0-) , 20/7 by this day of 7--)74y...k) ,2OZZ by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
(Sign e of Notary Public-State of Florida) (Signature o otary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
- • Juliet Law
L-•- 4' - • .i., _ , .: .- Juliet Law
GG 046735 ...i,f, ... NOTARY PU !Commission No._GG 046735 , 1.:.%,
.Commission No. . ,.r 1 NOTARY,PLI
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_•ihtic "_, STATE OF FL D
T. -S ATE 9F FLOM!
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Expires 11/13/2020
• Expires 11/13/26:f;
Revised 07/15/2014 . .
REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALS . .
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