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ALL APPLICABLE INFO
MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
Date: ( -%�-� fl�z 19-D/IZ7 Permit Numb
;�- - CE 3E DED
!11 I 's N so M1
Building Permit Applicatio OCT 16 2019
Planning and Development Services
Building and Code Regulation Division PermittingPerm
D e partm e n t
2300 Virginia Avenue,Fort Pierce FL 34982 S . U I e C�U n ty, FL
Phone:(772)46 -1553- Fax: (772),462-1578 Commercial
PERMITAPPLIC4TION FO RNElectrical 0
PROPOSED I,NPROVEMENT LOCATION:
Address: /_ ���2 /43
Legal Description:
Property Tax ID#: 1306-111-0001-0001.0 yCb,2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK::
Replace meter center with a combo pack
CONSTRUCTION.INFORMATION:
Additional work to be nerformed under this permit-check all t=appy:
HVAC Gas Tank E]Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers I Generator E] Roof
Total Sq. Ft of Construction: S . Ft.of First Floor:
Cost of Construction:$ C� , p �� Utilities:,n Sewer I Septic Building Height:
OWNER/LESSEE:. : . CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
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 `tax: City: Port St. Lucie State: FL
Phone No. 772-878-5513Zip Code: 34952 Fax: 772-878-3347
E-Mail: 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 construction is$2500 or more,a RECORDED Notice of Commencement is required.
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:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip. Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St.Lucle 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,
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
ture of Owner/Lessee/Contractor as Agent for Owner S' ature of Contractor/License Holder
STATE OF FLORIDA r STATE OF FLORIDA �r
COUNTY OF yC .L44.0— COUNTY OF
The forgoing Instrument was acknowledged before me The forgoing instrument was acknowledged before me
20 b this ! da of 20� by
this day of ��4 ` Y � Y �v�
Name of person making statement. Name of person making statement.
Personally Known �rOR Produced Identification Personally Known / OR Produced identification
Type of Identification Type of Identification
Produced Produced
ILr
(Signature of` - �da) (Signatur1X9
R &rida)
`J � STATE OF FLO STATE OF FLORIDA
Commission!' o G262780 1) Commissi 62TB0 (Seal)
Comrim. c� 8�� Expires 9!26/2022 c€�� ERplfoo 9126/2022
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.21 19