HomeMy WebLinkAboutBuilding Permit Application r '
11 ALL APPLICAFLE INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED nJAr-031
Date:5.411 IS', , 2. .tr.? Permit Number:
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..::',E•y.::-.7.-7,---!::tz-:. RECZIVED
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Building Permit Application Permitting Depart
PlannLuCountent
ing and DevelopmentSenrices St,
Builiing and Code Regulotfon Division
2300 Virginia Avenue, Fort Pier:e FL 34982
Phone:(772)462-1553 ax: (772)462-1578 Commercial Residential X
PERMIT AP?LICATION FOR: Electrical :-
PROPOSED INPROVEMEN LOCATION:.
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Address: /5— ,‘" e'' )e,)
Legal Descripti)n:
Property Tax ID 4: 1301-111-0001-00015 :.1 (;._ Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: LeftSide: li .
I DETAILED EIESCRIPTION OF WORK:
Replace meter center with a combo pack
CONSTRUCTION INFORMATION:
Additional work-to big_p4rtormed under this permit—check all ti_kaA apply: —
HVAC I 1 Gas Tank Gas Piping - IShutters ri Vt/indows/Doors
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.1"" Eectric 17 Plumbing OSprinklers Generator Roof li
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Tota'Sq. Ft of Construction: 59:4 of First Floor:
Cost of Coristri_Iction:$ 5.15'0- 00 Utilities:I [Sewer—1 Septic Building Height:
OWNER/LESSEE: LCOF\JTRACTOR:
Nacre Wynne Building Corp. Name: James W Law
Address: 8000 S US 4'I Suite 402 Company: Law's Electric, Inc. !!
City: Port St. Lucie State: a Address: 218 Beach Avenue !!
Zip :ode: 34952 Fax; City: Port St. Lucie State: F1-
I ?hone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-33471!
E-IV all: i Phone No. 772-971-4512 il
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Fill in-fee simple Title Holder on next page(if different E-Mail: lawselectricincaol.com
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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. i )
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ! :1
DESIGNER/ENGINEER: t.," Not Applicable MORTGAGE COMPANY: •v/ Not Applicable
Name: Name:
Address: . Address: ,.
City: State: City: State: I
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: i/ Not Applicable BONDING COMPANY: /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 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 ofthe 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 1
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for I
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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sip.:ture . Owner/Agent/Lessee Si/athre of Contractor/License 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 2...X-day of ÷4...e.,, , 201? by this ....4:5-day of ..-4:24.Z/7 ,2012 by • 1
JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging) . .
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ijnZNotary of NotaPublic-State of Florida) (Signature.- ' otary Public-State of Florida) —
Personally Known AV.- OR Produced Identification Personally Known 1.--"-- OR Produced Identification l
Type of Identification Produced Type of Identification Produced
J Jiglet Law
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YI) LBLORICIF 4
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1 .Commission No. *GG 046735 „.,-- "ii- NOTARY PUE3LiCbmmission No. GG 046735
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_hwir STATE OF FLORPA , ;
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Expires 1 If13/2020
• Expires 1/%1 .:
Revised 07/15/2014 . 3I2 .,
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REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
I g COMPLETE
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