HomeMy WebLinkAboutBuilding Permit Application ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
late Cf Permit Number:
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Building Permit Application Rzcelvzo
Planning and DevelopmentServices APR 0 8
Building and Code Regul&ion Division
2300 Virginia Avenue,Fort Pierce FL 34982 - Pornlittin
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residt!00
PERMIT APPLICATION FOR: Electrical
-PROPOSED INPROVEMENT LOCATION:
.Address-.—
Legal Description:
Property Tax I D#: 3427-111-000Z-00015 Lot No.
Site Plan Name: Block No.
ProjectName:
Setbacks Front Back: Right Side: Left Side:
flETAILED DESCRIPTION OF WORK:
Replace meter center With a combo pack
CONSTRUCTION INFORMATION:
Acklitionaiworktopepertormed under this permit-check all that apply:
HVAC Gas Tank Flas Piping _Shutters F]Windows/Doors
zElectric M Plumbing OSpritnkllers IGenerator Roof'
Total Sq.Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ _1i-! 421 e Utiiities�cn Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp- Name: James W Law
Address: 8000 S US#I 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: FL
Phone No 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-9714512
Fill in feesimple Title Holder on next page(if different E-Mail: lawselectricinc@aol-com
from the Owne*r listed above) State or County License: ER0000122 —
if value of construction is$2501)or more,a RECORDED Notice of Commencement is required.
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it SUPPLEMENTAL CONSTRUCT)ON LIEN LAW INFORIWATiON:
►� DE:SMNER/ENGINEER: :/ NotApplicabie MORTGAGE COMPANY: J Not Applirnhlr
Name: Name:
Address: Address:
City: State: City: State:
Zip: .Phone: Zip: Phone:
FEL"SIMPLE TITLE HOLDER: _L/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
�f Zips: Phone: Zip: Phone:
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I certify that no work or installation has commenced priorto the issuance of a permit
Sl St.Lucie ccunty makes no representation that is granting a permit will authorize the permit holderto build the subject structure
wh?ch is:n conflict with any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibitsuch
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
f WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in yourpaying twice for
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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.
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jSi ature of Owner/Agentj Lessee Seature of Contractor/License Holder
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r. STATE OF FLORIDA - STATE OF FLORIDA
t COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
aTheforgoirg instrument was acknowledged Before me ! The forgoing instrument was acknowledged before me
this�day of � . 20[�by i this�day of 4�' -,20.Z.`/by
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( _ _GAMES W LAW JAMES W LAW
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(Name of person acknowledging) (Name of person edging)
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I (
lgnatdr6o-f Notary Public-State of Florida) (Signature otary Public-State of Florida)
l ✓ OR Produced Identification
Rer.onally Known � OR Produced Identification Personally Known
Type of Identification Produced Type of Identification Produced
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GG�D46735 r Juliet Law diet Law
Corrmnussion No- NOTARY PUio
commission No. GG 046735 ea
(1k -�STATE OF FR b NOTARY PUBLIC
. Comm*GG446735 Comrr*GG046735
revised 07!1512014 Expires 111.1312020 F EVIres 19/13/2020 1
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLETE
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