HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED n �}
Date: Permit Number: �� lJ - `
RECEIVED
Building Permit Application
Plonning and Development Services JUL 2 0 2015
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
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Address:
Legal Description:
Property Tax I D#: 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 P, �s
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Additional work toe e orme under this permit—c ec a appy:
1]HVAC []Gas Tank ❑Gas Piping _Shutters n Windows/Doors
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9 Electric �Plumbing Sprinklers I Generator Roof
Total Sq. Ft of Construction: So.Ft.of First Floor:
Cost of Construction:$ _ � :U Utilities:Sewer USeptic Building Height:
C� EX3NTRACTQt
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. 772-9714512
Fill in fee simple Title Holder on next page(if different E-Mail: iawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
If value of construction is$7500 or more,a RECORDED Notice of Commencement is required.
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SUPPI EMENTAL CONSTRUMON UEN LAW INFORMAMN:
l3ESlGi ER�ENGINEER ;j Nat Applicable -- MORTGAGE COMPANY-. Not Applicable
Name: Name:
Address: Address:
City: State: aty., State:
Zip: Phone: Zia- Phone:
FEE SIMPLE TITLE HOLDER: -V—Not Applicable BONDING COMPANY:
_%/Not Applicable
Home: Name:
Address: Address-
City: City.,
Zip: Phone: Zip: Phone:
1 certify that no work or installation has ctimrnerice4.-priortc,the issuance of a pemiit
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that at is
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Assosfiation and review your deed for any restrictons which may apply.
in consideration ofthe granting of this requested permit,I do hereby agreethat I will,in 211 respects,perform the work
in accordance 1VA the approved plans,the Florida Building codes and St.Lucie County Amendments.
The following building permist applications are exempt*om undergoing aftill concurrency review:room additions,
acceessorystructures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARNING TO OWNER;Your fallureto Record a Notice of Commencement may result in your paying twice for
improvenIents to yOUr property.A Notice of-Commencement must be recorded and posted on the jobsrite
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.
A/ or
S re'of Oix-�nerl Agerrtj Lessee PInature of ContractorAlcense Holder
STATE OF FLORIDA STATE OF FLORIDA
COUN7Y OF SAINT LUCIE COUNTY OF_ SAINT LUCJlE
The forgoing in acknowledged b�dyore me The forgoing instrument was acknowledged before me
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�ES W JAMES W LAW
(jZn,e ofperson acknowledging) (Name of person acknowledging)
mofiify Public-State of Florida (Signatu"NotaryPublic-State of Florida
Personally Known V" OR produced Identification Personally Known V' OR Produced Identification
Type of identification Produced
Type of identification Produced JU -
LIET LAW
EE M906
NOTARY PUBLIC CoTnrifission No. 'EE 846906 YPUBLIC
Commission NO- OF FLORIDA STATE OF FLORIDA
Comm#EES46M C*MM#r;E0A6M
Expires 10128MOIS
Revised 0711512014
REVIEWS JFRONT ZONING SUPERVISOR PLAINS VEGETAnoN SEA TURTLE MANGROVE
COU REVIEW REVIEW
cou:NT:ER REVIEW REVIEW REVIEW REVIEW
DATE
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