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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:�I IR.d!Il.L_ o�(�/� Permit Number: l�� C)(0 �� I R7 • Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce FL 34982 Phone:(772)462--1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical 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: PETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: AcIaltional worK to flGasTank rm un ert spermit—c ec a appy: HVAC ❑Gas Piping Shutters a Windows/Doors ZElectric I El Plumbing Sprinklers Generator 111 Roof Total Sq.Ft of Construction: S Ft.of First Floor: Cost of Construction:$— _ 12 dc:�9, p© Utilities:Sewer USeptic 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: FL Phone No. 772-878-5513 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@aol.com from the Owner listed above) State or County License: ER0000122 H value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 6'd 85Z�-699_t 99 (ZM MVl d09:90 9 6 60 ung SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: 661%NEIiJEN6INEER: Not Applicable MORTGAGE COMPANY-. Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone- Zip: Phone: FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address- ZIP Phone: Zap: Phone.- i certify that no work or installation has commenced•priorto the issuance of a permit St Lucie Cour�zv makes no representatson that is grarsting a permitwili authorise the permit holcterto bund the subject structure which is In conflict weds any applicable Home Owners Assoaation rules,bylaws or and covenants that may restrict ar proh�it such strucwre.Please consult wdh your home Owners Association and nyview your deed for any restrictions whsch may apply. in consideration of thegranting ofthis requested permit,I do hereby agree•that I will,in all respects,performthe work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. Thefollowing building permit applications are exemptfrom 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 remit 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 our Notice of Commencement. grratt+re of Owner) entf Lessee Stfiature of Contractor/License Holder STATE OF FLORIDA - STATE OF FLORIDA COUNTY OF SAINT LUCIE COUNTY OF SAINT LUCIE The mg instrument was acknowledged before me The foreoing instrument was acknowledged before me thisfo day of -j jLdL = . 20,L,!Cby this„L..day of TjAejj9 .20_/Sby -IAMES W LAIN JAMES W LAW (Name of person acknowledging) (Name of person acknowledging), (Si Notary Public State of Florida) (Sign f Notary Public-State of Florida) Personally known OR Produced identification Personally Known OR Produced identification Type of identification Produced Type of identification Producers 1E$4$906 NOTARY PUBLIC JULIET LAW Commission No_ 6 _ TATE OF FLORIDA Commission No- EE 846906 ARY PUBLIC Comm*EE8A6908 STATE aF FLORIDA . 1 Expires 1Q12$/2018 Revised 07115/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS Z-d 99ZL-699-699 MV-1 d09:90 9L LO unf