HomeMy WebLinkAboutBuilding Permit Applicaiton _
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Datedf/i,Ar4, 47, , 2...e3/5) Permit Number: 19.LI5 •
RECEIVED
1"t1-471-1 *---772t1 MAR 2 62010
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Building Permit Application permitting Department '1
St. Lucie County
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Electrical Ei '
PROPOSED INPROVEMENT LOCATION:
Address: ___ ______ a J / L. _...,
Legal Description:
Property Tax ID ti: 3427-111-0002-00015 i'4I Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: LeftSide:
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!'DETAILED DESCRIPTION OF WORK: .
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Replace meter center with a combo pack
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CONSTRUCTION INFORMATION:
Additional work to ligartormed under this permit—check all that apply:
—1HVAC Li Gas Tank FiGas Piping 1 'Shutters n Windows/Doors
Ell Electric 0 Plumbing E:3 Sprinklers 0 Generator E Roof
Total Sq.Ft of Construction: Savai.of First Floor:
Cost of Construction:$ z:5C).• e.)C) Utilities:LJ Sewer I----Septic Building Height '1
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I OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law ! II
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: 0-
Phone No. 772-578-5513 Zip Code: 34952 Fax: 772-878-33471
• E-Mail: Phone No. 772-971-4512
' Fill in fee simple Title Holder on next page(if different E-Mail: lawselectricincQaol.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: ../ Not Applicable MORTGAGE COMPANY: .../ Not AppliCable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone: ----
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FEE SIMPLE TITLE HOLDER: JZ...Not Applicable BONDING COMPANY: V Not Applicable
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Name: Name:
Address: Address:
• Zip: Phone: . Zip: Phone:
I cer:ify that no work or installation has commenced prior to the issuance of a permit.
St.Locle 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
struczure_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.
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The following building permit applications are exempt from undergoing a full concurrency review;room additions, ti
accessory structures,swimming pools,fences,'malls,signs,screen rooms and accessory uses to another non-residential use 'II
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
I before the first inspection.If you intend to obtain financing, consult with lender or an attorney before 0
1 commencing work or recording your Notice of Commencement.
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i Sig6-ture o Owner/Agent/Lessee
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Sigrature of Contractor/License Holder
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I 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
1this gt day of 21-get-r,' ,c2,- , 20/9 by this_2g6 day of .)--"Ice-4 641 .20 1? by
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JAMES W LAW — JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
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(Siguktvre of Notary Public-State of Florida) (Signature o.------- '-' N .
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otary Public-State of Florida) i
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I Personally Known V OP.Produced Identification Personally Known e------ OR Produced Identification
Type of identification Produced Type of Identification Produced
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GG 046735 .2 NOTARY#u:' ICbmmission No., GG 046735
Commission No. ..:1Cliti.ili NOTARY PUBLIC
— ii RICA _ W 4. STATE OF Filbm,
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$ • Expires 11/13/2020 Expires 11/13/21i.;
aevised 07115/2014
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I. REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION . SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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DATE
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ZOM?LETE . •
INITIALS
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