HomeMy WebLinkAboutBuilding Permit Application i I
.ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date � � Permit Number:
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Building Permit Application
Planning and Deveiopment Services
Building and code Re`guladon Division
2300 Virginia Avenue,Fort Pierce FL 34982 !�
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
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PERMIT APPLICATION FOR: Electricaly'
PROPOSED INPROVEMEVT LOCATION:
t�
Address- /
Legal Description: -
Property Tax ID#: 341A-5D1-1701-000/9 Lot No.
Site Plan Name: Block No.
Project game:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack &Z
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CONSTRUCTION INFORMATION: �
rtrona war to be
rmed under tis permit- check all t=appy:
1_1HVAC' L_J Gas Tank FlGas Piping LJ_ShuttersWindows/Doors
Electric l J Plumbing F5prinklers 0—Generator Generator Roof'
Total Sq.Ft of Construction: Scl.Ft.of First Floor:
Cost of Construction:$� 4Vk:::9, 0c;? Utilities-0Sewer 0Septic 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. (i
City: fort St Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucie state: FL I�
Phone No. 772-878-5593 Zip Code. 34952 Fax: 772-878-3347 i!
E-Mail: Phone No. 772-971-4512 ll
Fill in fee simpleTitie Holder;on next page(if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
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if value of construction is$2500 or more,a RECORDED Notice of commencement is required.
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SUPPLEMENTALc6NSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY. Not Applicable
Name: Name:
Address: Address. 11
City: State: City: State:_1i
Zip: Phone Zip: Phone:
FEE SIMPLE TITLEHOLDER: Not Applicable BONDING COMPANY: —Not Applicable
Name: Name:
Address: Address:
City: city-
Zip: Phone; Zip: Phone: J
OWNER/CONTRACTORAFFIDVIT:Application is hereby made to obtain a permit to clothe work and Installation as Indicated.
I certify that no work or installation has commenced prior tothe issuance of a permit.
St.Lucie County makes no representation that Is granting a F ,bylaws or and covenants will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc ation rotes, 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 11
In accordance With the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The foltowing building permit applications are exern pt from untlareoing a full concurrency rcvlew.room acartions,
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
WffH YOUR LENDER 09 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Onature of Owner/Lessee/Contractor as Agent for Owner Si tune of CorrtFactorlllcense Holder
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STATE OF FLORIDA STATE OF FLORIDA ..' le.1
COUNTY OF COUNTY OF c4aoc� jl
Thefor in rumeptvva�a nowledged before me The forgoing Inst
going i st ruruent was a*nowledged before me
this ,
this -7 day of &44;*1 20,2�p by _Z day of avgAJ
_Z __,20go by
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Name of person making statement Name of person making statement.
Personally Known 'v"" OR Produced Identification Personally Known -"� OR Produced Identification—,
Type of identification Type of Identification
Produced Produced
1(t4gri-ature a of Florida) (Signia-ture,
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NOTARY PUBLIC NOTARY PUBLIC
CommisE 9F FLORIDA(Seal) Cornmiss RIDA (Seal)
Com"GG262780 f Conr(*GG262760
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*REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
I COUNTER REVIEW REVIEW REVIEW REVIEWI REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
lev,2/7/19
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