HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPUCATI ON TO BE ACCEPTED '�Uf�
Date: k _121t9_121t91145, Permit Number.
Building Permit Application
Planning and DeveloomentServices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre F134982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical .
.PAPOOSEO,[NPROVEIViENT LOCATION:
Address:
Legal Description:
PropertyTax 1D#• 3414501-1701-000/9 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
�C_f SSTRUCT-1ON CT -0.11 lATfO,N:.
itiona wo to e e orme under tis permit—c ec a apply:HVAC Gas Tank E]GasPiping Shutters Windows/Doors
Electric 0 Plumbing FSprinklers 0 Generator Roof
Total Sq.Ft of Construction: ScI.Ft.of First Floor:
Cost of Construction:$_ /_� y Utilities.Ln!Sewer D Septic Building Height:
OWWL8SEEr. CONTRACTOR-:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Sulte 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: T72-878-3347
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
tF value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_Ut91_GNERjtN G1 NEER: R o t Applicable�
MORTGAGE COMPANY: ✓Not Applicable
Name: Name:
Address: Address:
city- --State: city: state:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_t/' Not Applicable BONDING COMPANY: Z Not Applicable
Name: Name:
Address. Address:
city: City:
Zip: Phone: Zi1r. Phone:
I certify that no work or installation has commenceo:priorto the issuance of a
permit
Sk �e Counk,no representation 9ta"Ant"a re
h:hic 1s� oirctw, alFPIb ion: suc
rur Please jy, r Home 0ne
in consideration of the granting ofthis requested perinit.I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St-Lucie County Amendments.
-Thefollomfing building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory usest6 another non-residential use
WARNING TO OWNM:Your failure to Record a Notice ofCornmencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted an the jobsite
before thefirst inspection.if you intend to obtain financing,consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
�5Fu
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e of own
er/Agent/Lessee nature of Contractor/license Holder
STATE OF
FRLORIDA STATE OF FLOFUDA
COIMM OF
iAINT LUCIE COMM OF SAINTWCIE
The forizoing instrument wa acknoMedged before me The forgdmgInstrument was acknowledged before me
761e, 20,Kirby this_,
day of day of20A<by
_jA_AfiES W LAW JAMES W LAW
(Name of person acknowledging) (14ame of person acknowledging)
Nola qPubic-state of Florida) (Yignatuff&Natary Public-State of Florida)
Personally Known OR Produced Identification Personally Known ' OR Produced Identification
Type of Idents cation Produced Type of Identification Produced
JULIET LAW
EE 846gd6 NOTARY PUBLIC Commission No- 'EE 846906 PUBLIC
Commission No- ATE OF FLORMA
Ca STATE OF FLORIDA
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P.rdsecl 07IW2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLEM
INITIALS
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