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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Num e NOV 2 20f9 4 Building Permit App�licatio Planning and Development Services Permitting Department Building and Code eg ilation Division St. LUcie 2300 Virginia Avenue,Fort Pierce FL 34982 Co n tYr PL Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical Q PROPOSED INPROVEMENT LOCATION: Address: Legal Description: - Property Tax ID#: 3414-501-1701-000/9 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: A}diit'�iona workto e pe orme under tis permit—check a appy: LJHVAC l�.1 Gas Tank Gas Piping l Shutters (�Windows Doors QElectric 0 Plumbing Sprinklers 1:1 Generator M Roof Total Sq_Ft of Construction: S Ft.of First Floor: Cost of Construction:$ lz ©e Utilities:USewer Q°Septic Building Height: OWNERAESSEE: 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 Fax: City: Port St.Lucie State: EL Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347 E-Mail: Phone No. 772-979-4512 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: DESIGNERANGINEER: Not Applicable MORTGAGE COMPANY: v/ Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: j/ Not Applicable BONDING COMPANY: --%,I Not Applicable Name: Name: Address: Address City: City: Zip: Phone: Zip: Phone: I cert-ify 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 struc4ure.Please consult with your Home owners Association and review your dead 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 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. 'A Si 2ture oOwner/Agent/Lessee Sipffatiie of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA ' COUIVM_ OF SAINT WCIE COUNTY OF SAINT LUCIE The forgoing instruqaent was acknowledged bel me The fnrGoing instrument was arknowledged before me thiL,&Lday of 20,!�. Zby thig-�,F day of 22 20�by JAMES W LAW JAMES W LAW (Name of person acknowledging) (Name of person acknowledging) (SignatureofNotary Public-State of Florida) (Signature dotary Public-State of Florida Personally Known OR Produced Identification Personally Known &-'- OR Produced Identification Type of.Identification Produced type of Identification Produced J let Law Jull Law Jul Commission No-, GG 046735 NOTARY P )mmis!iion No.. GG 046735 NOTARYPUBUC STATE OF UF7LRIQA STATE OF FLORI.' COM"GG ?as Revised 0711512014 EXPIrsil 11/13/2i;<; FPREVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS