HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MIDST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:•„�„�,. / l �f� Permit Number:
s
Building Permit Application
Planning and DevelopmentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fart Pierce Ft 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial - Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSE€.1W..R0VEM ENT LM--ATItON:..
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:
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Replace meter center with a combo pack at each address
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Additional war oe Orme unde?this permit—checka appy:
E)HVAC EJ Gas Tank ❑Gas Piping Sh utters Q Windows/Doors
Electric 1:1 Plumbing FSprinklers Generator Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$_ aC�.Ci y Utilities: Sewer t�lSeptic Building Height:
OWl! Ft/!LESSEE.: CONTRACTOR:
Name Wynne Building Corp, Name: James W Law
Address: 8000 S US#1 Suite 4D2 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. 772-878-5533 Zip 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 a@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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SUPPLEMENTALCONSTRUMON LIEN LAW INFORMATION:
MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Address:
City., State: City.-
Zip: Phone: Zip: Phone:
FEE SIMPLE TnU HOLDER: Not Applicable BONDING COMPANY: -&/—Not Appricable
Name: Name:
Address: Address-
c3 :
Zip -Phone: Zip: Phone:
I certify that no work or installation has cornmence4-priorto the issuance of a permit.
that may restrict or prohibit such
srtr
r�ians which may apply.
in consideration of the granting 6f this requested permit,I do hereby agree that I wilt in all respects,perform the work
in ac card ance Witt the approved plans;the Florida Stfilding Codes and SL Lucie County Amendments.
The following building permit applications are exemptirom undergoing a full concurrency mfipw:room additions,
accessory structures,swimming PODIS,fences,walls,signs,screen rooms and accessory usesti>another non-residential use
WARMS TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twee for
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,a auj� ad f r any n
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applicable
which in co H
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Name No7andft:Ar your dee
improvements to your pmperty.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
gesture of OvrnerjAg'ezitj Lessee SiKature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA NT LUCIE
COUMV(jf���SAT�NTLU�aE LAJ
COUNTY OF
-rheforr,2ing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this_jXday of M-4-Y 20 LAY this_YS day of Z015_ by
f
JAMESWLAW
JA_MES W LAW
(blame of person acknowledging) (Name of person acknowledging)
(Sire-6f Notary Public-State of Florida
(S,;;zUWf NotaryPublic-State of Florida) (Sign Personally](nown V' ORProducedidentification
Personally Known V ORProduced ideniffication of Identification produced
Type of Identification produced 1" IAW TypeJULIET LAW
EE 846906 NOTARY PUBLIC DA commission No. .'EE 846906 PUBLIC
commission Na. OF FLORIDA ESTATE OF FLORIDA
ConirEE846M
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Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS vmmmoN SEA-ruRTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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