HomeMy WebLinkAboutBuilding Permit Applicaiton ALL APPLICAB_E INFO MUST 3E COMPL D FORS C IP.' .- • t ACCEPTED
Date:i ‘..-4; IS , :a /? •-rmit Number: —0
MAR 1 9 2019 —
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Building Per- 411!, •licatio
Plane and Development Services \ Clg AGOR1
Builtlag and Code Regulation Division
230C,Virginia Avenue, Fort Pier:e FL 34982
Phone: (772)462-1553 7L'ax: (772)462-1578 Commercial Residential X
PERMIT AP?LICATION FOR: Electrical
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PROPOSED INPROVEMENT LOCATION:- ..
Address: - . 7
Legal Descripti)n:
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I Propertv Tax ID ti: 1301-111-0001-00015 .2_. e: Lot No.
Site Plan Name: Block No.
Project game:
Setbaci:s Front Back: Right Side: Left Side: ,
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
: -Additional work to be ertormed under this permit—check all tha. apply:
HVAC I. I Gas Tank FiGas Piping - IShutters j
Windows/Doors
Fv-:' Eectric 1 I Plumbing riSprinklers 1-1 Generator Roof
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'ata'Sq. Ft of Construction: s,,Fai of First Floor:
Cost of Zonstr_ction:$ 5-00, C..)6 Utilities: I Sewer FiSeptic Building Height:
OWNER/LESSEE: CONTRACTOR: 1 ,
Narre Wynne Building Corp. Name: James W Law
Address: 80(0 S US#1 Suite 402 Company: Law's Electric, Inc.
City: Port St. Lucie State: FL Address: 218 Beach Avenue
Zip =ode: 34952 Fax: ! City: Port SL Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricincaaol-com
from the Ownar listed above) State or County License: ER0000122
If value of cons'suction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY: ../ Not Applicable •
Name: I Name:
Address: _ Address: , •
City: State: City: State:
Zip: Phone: Zip: •Phone:
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: V Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit
St.Lucie iCounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in cant' ct 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!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
cornmencing work or recording your Notice of Commencement.
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Si:iz..11ture o Owner/Agent/Lessee Si ture of ContractorfLicense Holder •
STATE OF FLORIDA .
.• STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
this .1;day of 22X.7./...e J.., , 20 it:by this /8 day of 22-.42..tchi ,202 by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
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(Signature of Notary Public-State of Florida) (Signature o otary Public-State of Florida)
Personally Known 40--. OR Produced Identification Personally Known 1,--"' OR Produced Identification I
Type of Identification Produced : Type of identification Produced
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.Commission No. GG 046735 .?' Ili NOTARY PUBLIOommission No.:GG 046735 PUBLIC
„STATE OF FLOR1OA
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Expires 11/13/2020
Revised 07/15/2014 -
1 . . ' Expires 11/13/261.i
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REVIEWS FRONT -, ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER IREVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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1 - •INITIAIIS -
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