HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:... 150Y.C / t t
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,hart Pierce FL 34982,,
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Res dentiat X
PERMITAPPLICATION FOR: Electrical
PRCPQ.$Oa W"EM r�'..Ei
Address:
Legal Description:
PropertyTax lD#: 3419!(!r- to-2-5-s— 0,0e— 7 _ Lot No,
Site Pian Name- Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
PET OES
101T 0
Aizr
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mono wo o e• e Orme un er t ss permit-c ec a appy:
HVAC 0Gas Tank ❑Ga5 Fiping _Shutters Q Windows/Doors
gElectric Q Plumbing Sprinklers 0-Generator Roof
Total Sq.Ft of Construction: S�of First Floor.
Cost of Construction:$ Utilities: Sewer F lSeptic Building Height:
Name Name- James W Law
Address- Company: Law's Electric,Inc.
City: Port St.Lucie State- FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St.Lucie State: FL
Phone No. Zip Code: . 34952 Fax: 772-878-3347
E-Mail: Phone No. .772-971-4592
Fill in fee simple Title Holder on next page I if different E-Mail: lawseleclrlcinc@_)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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAMON:
DESIGfffftjI NGINEER. V Not Applicable MORTGAGE COMPANY. ,✓Not Applicable �
Name: Name; �
Address:
Address:
City: State_ city: State:
Zip: Phone- Zip: Phone:
FEE SIMPLE TITLE HOLDER. _j/ Not Applicable BONDING COMPANY: .,,slot Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: ZIP:_ Phone:
' I
I certify that no work or installation has commenced:priorto the issuance of a permit.
St Lucie Cour�y makes no representation that is granting a permit will authorize the hermit holder to build the subject structure
which is in corrtiict with any applicable Home Owners Assoaation rules,bylaws or and covenants that may restrict or prohlbit such
structure.Please consult wrth 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 Caries 2nd St.Lucie County Amendments.
Thefollowing building permit applications are exemptfrom undergoing a full concurrency readgur room additions,
accessory structures,swimming pools,fences;walls,signs,screen rooms and accessory usest6 another non-residential use
WARNING TO[3►WNF.R.Your failure to Record a Notice of Commencement may result in your paying twice for
improvementstoyour 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
commenciniz work or recordingyour Notice of Comm cement.
gnawre of Owner/ gent/Lessee afore of Contractor/License Holder
STATE OF FLORIDA - STATE OF RLORiDiA
COUNTY OF SAINT LUCIE COUNTY OF SAINT l.UCIE
Theforgoing instrument �was acknowledged bg1bre rite Thefonoing instrum nt was acknowledged before me
this +',day of.Q -- __,z }r tksisIV--Z, laYI.f. _._ z0ZS"EY
JAMES W LAW JAMES W LAW
(Larne of person admowiedging a (Name of person acknowledging) '
( Riotary Public State of Horde) (5 ure f Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known S' OR Produced Identification
Type of tdentiffcrtion Prnduced Type of Identification ProducedPUBLIC JIK.I£T
E 8465U6piBFLORIDA Commission No. S4G906 ARY PUBLIC LAW
Gommission No -
Ct MWEE64 M STATE OF FLORIDA
Revised 07/1512014 '�` Expires�ontir2ofs
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEATURTI.E mANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
BATE '
CaMPLEI'E
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