HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _19Y. Q� W.S
Date: 1 Permit Numbe ikk D
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Building Permit Application APR 2 2019
Planning and Devetopmenr5ervices Permitting Department
Building and Code Regulation Division
23001rrginiaAvenue,Fort Pierce FL349&2 St. Lucie County, FL
Phone:(772)462--1553. Fax: (772)462-1578 Commercial R t
PERMIT APPLI CATION FOR: Electrical o
PROPOSED INPROVEMENT LOCATION:
Address: l
Legal Description:
Property Tax ID#: 1306.1 i l-000"1-OQOt-9 gyp,, Lot No_
Site Plan Name: Block No_
Project Name:
Setbacks Front Back: Right Side: Left Side:
DI=I•AIi.ED DESCRIPTl0111 �7F WORK: "
Replace meter center with a combo pack
C�,itfonal�worktobprlprtormR
_fTION(INFORMATION:
under
this permit—check all lbzl appy:
HVAC
i. Cas Tank 06as Piping Shutters Windows/Doors
' Electric I �J Plumbing L SprinitEers F t Generator I Roof
Total Sq_Ft of Construction: S Ft of First Floor:
i Cost of Construction:$ "��� c�cY utilities Sewer liSeptic . Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name: .lames W Law
Address- 8040.5 US#1 Suite 402 Company: Law`s Qectric, Inc.
city: Port St. Lucie State: FL- Address: . 218 Beach Avenue
I 34962 Port St_Lucie FL
)
Zip Code: - Fax: City: State:
Phone too_ 772-878-5513 Zip Code: 34952 Fax: 772-678-3347
E-Mail: Phone No. 772-971-4512-
Fill
72 97'1-45{12Fill 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 rs required-
-8926-L99-699 LbEE8L8ZLLMVI e90:60 6L ZO AV
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I18L.>LIAC SL may resmct or prohibit such
--tw-us�vwsus your none vwriersAssociation and revJe'%v`y--0iU-r-&&G�zWyMrestrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree that I uffil,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 our Notice of Commencement.
SiLure of owner/Agent/lessee Si Vire of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY-0,F SAINT LUCIE COUNTY OF SAINT LUCIE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
tltls day of � 20,/51-'-by this -9, day of 20j_! by
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
{sig a of Notary Public-State of Florida (Signature i'dAotary Public-State of Florida)
PersonallyKnown 1/"' OR Produced Identification- Personally Known ✓ OR Produced Identification
Type of Identification Produced Type of Identification Produced....��
-JUM Law Jwlet Law
Co!nff iiss! T-7 NOTARY mm1s;tIon No-.-66 046735 &VNOTARYPUsLfc
STATE OF QA STATE OF FLORF
C wowmrm�"*a
on Wo- 'GG 046735 2E
It 13/2020
Revised 07/1512014 Expires 1111312,�---,i
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE,
COMPLETE.
INITIALS
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