HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f
Date: / Permit Number: / 6
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)452-1553. Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
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Address:
Legal Description:
Property Tax ID#: 1306111-0001-0001e a Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Replace meter center with a combo pack
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Ado itional work to [j Orme under tis permit—c ec a appy:
HVAC LJ Gas Tank ❑Gas Piping _Shutters a Windows/Doors
EJElectric ElPlumbing Sprinklers El Generator Roof
Total Sq.Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �`��`��•:57 C) Utilities: Sewer Septic Building Height:
O: .WI1EfiLESS.EE: £O: l�'R�4CFRr:.
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Laws Electric, Inc.
City: Port St. Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34$52 Fax: City: Port St.Lucie State: FL
Phone No. 772-B78-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-9714512
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.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
60-G-9 E-1 fffr-j 6 1 N E E R: -/ Not ApplEcable, MORTGAGE COMPANY: Not Applicable
Name: Name:
Address: Addreis7
City: -- State: City- State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLEHOLDER., _j/ Not Applicable BONDING COMPANY: -.sr/Nat Applicable
Name: Name:
Address: Address:
City: City.
Zip: Phone- Zip: Phone:
I certify that no work or installation has commenced-pilorto the Issuance of a permit
St:Lucie
County structure s n c
h
re.Please cortsuk wrth your Home Owners Assoc'satlon and review your deed for any restrictions v�hcch may apply.
in consideration of the granting of this requested perms I do hereby agreethat I will,in all respecter perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie county Amendment-.
The following building permit applications are exempt from undergoing a full concurrency review:room additioM
accessory structurm swimming pools,fences,waits,signs,screen rooms and accessory uses ti)another non-Tesidenft use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your Paving 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 u(sth lender or an attorney before
commencing work or recording your Notice of Commencement.
Wature of owner/Agent/Lessee $ nature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUFM OF SAINT_LUCIECotjNTy OF SAINT WClg
The forgoing instrunimt was acknowledged berbreme The forgoing instrument wa acknowledged before me
this 'V
__k4Z day of -.-.1 20 Z,!Cby this -Z day L _ 20,?.�by
01 L
JA-MES W LAW JAMES WLAW
[Name of person acknowledging) (Name of person acknowledging)'
-FS7— WRqMotary
Public-State of Florida rida}
(Sjgn-affu��Of Nota Public-State of Florida
Personally Known OR Produced Identification Personally Known V"" OR Produced Ideralfication
Type of Identification Produced- 0119= I AW Type of Identification Produced
JULIET LAW
Commission No- 1EE 84690to NOTARYPUBLIC Commission No. -EE 846906 . YPUBLIC
OF FLOFdDA STATE OF FLORID&
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Expires 10MR01's
Revised 0711512014
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
-DATE
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INITIALS
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