HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JULY 9,2015Permit Number: �Ja,
RECEV D JUL 0 9'201
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical 0
Address: 2757&2763 NIAGARA AVE.
Legal Description:
Property Tax ID#: 1428-702-1046-000-3 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
INSTALL NEW ELECTRICAL SERVICE & CHANGE OUTLETS &INSTALL SMOKE DETECTORS.
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Additional work toa ar orme under tis permit—c ec a appy:
HVAC MGasTank ❑Gas Piping _Shutters ❑•Windows/Doors
ZElectric ❑ Plumbing ❑Sprinklers ❑Generator ❑Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 2,300.00 Utilities:�Sewer❑Septic Building Height:
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Name PRODIGY CAPITAL Name: JAMES W LAW
Address: 7741 N. MILITARY TRL Company: LAWS ELECTRIC, INC.
City: WEST PALM BEACH State: FL Address. 218 BEACH AVE.
Zip Code: 33410 Fax: City: PORT ST. LUCIE State: FL
'Phone No. 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: ER 0000122
If value of construction is$2500 or more,a RECORDED Notice of commencement is required.
6'd 89Z6-699-1.99 Mb's d66:-V0 96 60 Inp
SUPPLEMENTAL CONSTRUCTION UEN LAW INFORIVIAMON:
-5291—G—NElkf tNGINEER-. -Z Not Applicable MORTGAGECOMPAW: v�Not Applicable
Name: -Natne:
Address: Address:
City- State: CftT- State:
Zip: Phone: Z71p--- Phone:
SIMPLE TITLE HOLDER: t/ Not Applicable BONDING COMPANY: -V—Not Applicable
Name: Name:
Address: Address:
city: C4---
Zip: Phone: Zip: Phone:
I certify that no work crinstallation has commenced-priortothe issuance of a perrnfL
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build
the subject lm%re4 61slcon a with t V applicable 0 ! 012ybh=my�ctor sur
h
pi ,consuIgwwncn � Myour restrictions which EWapply
inconsideration 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 Codesand St.Lucie County Amendments.
The following building permit applications are exemptfrom undergoing a full.concurrency reifigvc room additions,
accessory structures,swiminiing pools,fences,waft,signs,screen rooms and accessory uses tis another non-residential use
WARNING TO OWNER:YourWI are to Record a Notice of Commencement may result in yetur 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 finandn&consult mfith lender or an attorney before
commencing work or record!M your Notice of Commencement-
3 ' faiture of owner/Agent)Lessee %nature of contractor/License Holder
STATE OF:FLORIDA STATE OF FLORIDA
COMM OF
.L��A]SAINT C1�E
COUNTY C)FSAINT LUCJI�
Theftgoing. stru entWq5;acknowledged before me The forgoing instrumentwas acknowledged before me
In 'y
rn
f - day day 0 -Arl
20 Z,_-!5b this c 26y
-JAMES W LAW JAMES W LAW
75—me of person acknowledging (Name of person acknowledging
r4ogary Public-State of Florida (Signatu're-&Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known V" OR Produced Identification
Type of Identification Produced 'Er I AW Type of Identiffication Produced
JULIET LAW
NOTARYIDMIC .M'
commission No- EE 846906 Ai E OF FLORIDA Comniis;sion No- . EE 846906 ARYPUBUC
STATE OF FLORIDA
Com
Comm#�846906
-Boo IM2.8020-101 Comm#E98469W
Explies 1012(IWG
Revised 0711512014
REVIEWS FRONT ZONING , SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
7,-d 89z6-699-699 MV d66:t0 94 60 Inr