HomeMy WebLinkAboutBuilding Permit Application ALL APPLICAB:_E INFO MUST 3E COMPLETED FOR APPLICATION TO BE ACCEPTED
DatE _ /_•j f vZ Permit Number: ��( ,� (57
BuildingPermit Application APR 9
7019
Planning and Development Services Pes ittin9 De
Building and Cade Regulation Division Luc;•e Co rysent
2300 Virginia Avenue,Fart Pier:e FL 34982
Phone: (772)462-1553 Fax:'(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical 1I' 0
PROPOSED INPROVEMENT LOCATION:
Address: /__[1, -4 .
Legal DEscripti 3n:
I Property Tax ID#: 1301-111-0001-000!5 •=? - Lot No_
Site Plan Mame: Block No_
Project Name:
Setbacl:s Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack _
CONSTRUCTION INFORMATION: -
Additiona wor to •e pe orme• un.ert is permit—c ec a t a appy:
n
I !HVAC Gas Tank Gas Piping _Shutters I Windows/Doors
V Electric i Plumbing Sprinklers Generator _Roof
Tote!Sq. Ft of Construction: 5�_Ft.of First Floor:
Cost of Constr_ction:$ J� 0O= JCS Utilities: _Sewer _Septic Building Height:
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OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: 'James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inc_ jl
City: Port St_ Lucie State: FL Address: 218 Beach Avenue
Zip :ode: 34952 Fax: City: Port St_ Lucie State: FL
Phone No_ 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-(Vail: Phone No_ 772-971-4512
Fill 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 consruction is$2500or more,a RECORDED Notice of Commencement is required. ••
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
City: V Not Applicable
MORTGAGE COMPANY:
Address: Address:City:
State:
V Not Applicable
Name: Name:
State:
Zip: Phone:1 Zip: Phone:
FEE SIMPLE TITLE HOLDER: k/ Not Applicable BONDING COMPANY: V Not Applicable
Name: I Name:
Address: i Address:
City: City: d
Zip: Phone:' . Zip: Phone:
1
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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 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, i
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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 1
commencing work or recording your Notice of Commencement. 1
41. of 6),//,/-,/v/ 1
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Siz.,.1ture o Owner/Agent/Lessee SiR.-ature of Contractor/License Holder •
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STATE OF FLORIDA .- STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE
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The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this.r. day of .....644.1.e__. : , 20 1.2 by this day of ,r+4.4.1—e .20/7 by I
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JAMES W LAW JAMES W LAW
(Name of person acknowledging) (Name of person acknowledging) 11
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lii,-- -----
Noi
(Sign' tuff Notary Public-State of Florida) (Signature o otary Public-State of Florida) I
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Personally Known V- OR'Foduced Identification Personally Known 4.,'" OR Produced Identification
Type of Identification Produceci 1 Type of Identification Produced
4,-- 1-";'''.- NOTARVPUBLIC
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_•,,17-. ':,' NOTARY PUBLICOmmission No._ GG 046735
Commission No. '.GG 046735 ' ;ilk4 STATE OF FLORIDA STATE
qd.Ili—
OF FLOW
•".1*"..,,,, . : Comm#GG04873.5 ....44_,, -
_ • ....._ . Comm#0004673.
Expires 11/13/2020 . e
Expires 11/13/2u•‘;
Revised 07/15/2014 . . .
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REVIEWS FRONT . ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE V V V ,
_COMPLETE .
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INITIALS ,
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