HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: JULY 2%,2015 Permit Number: k'510'1-0 40 y
RECEIVED JUL'2 81015
Building Permit Application
Planning and Development Services C p V G p U>4
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential
PERMIT APPLICATION FOR: Electrical
P::RCP7 1•0/lIQ:V�ENfIT!
Address: 8550 CARLTON ROAD
Legal Description:
Property Tax ID#: 3228-311-0001-000-1 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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ESR,P7'I ': Q 'i �,
INSTALL 100 AMP SERVICE FOR RV AND IRRIGATION PUN(P.r
Cts: ,:. �GIN, . R11Rf TLS
Additional work to be nartormed under tis permit—check all appy:
11 HVAC Gas Tank QGas Piping _Shutters Q Windows/Doors
Electric Plumbing ❑Sprinklers ElGenerator Roof
Total Sq. Ft of Construction: _ S . Ft. of First Floor:
Cost of Construction:$ 1,350.00 Utilities:Sewer Septic Building Height:
.5-
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Name SAINT LUCIE COUNTY Name: JAMES W. LAW
Address: 2300 VJRGINIA AVENUE Company: LAWS ELECTRIC, INC.
City. FORT PIERCE State: FL Address: 218 BEACH AVENUE
Zip Code: 34982 Fax: City: PORT ST. LUCIE State: FL
Phone No. 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: IawselectricincQal.com
from the Owner listed above) State or County License: ER 0001222
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION UEN LAW INFORMATION:
DESIGNERIENGINEEH-. V Not Applicable MORTGAGE COMPANY: V Not Applicable
Name: Name.-
Address: Address.
Crtr State: city: State:
Zip: Phone: Zip: Phone:
E SImpLE TrnX HOLDERt -V-Not Applicable
Not Applicable BONDING COMPANY:
Name: Name:
dr6SS:_ Address:
City: city-,
z jp_ Phone: Zip: Phone:
p:
1 certify that no work or installation has corrrmence4:priortothe Issuance of a permit
=hche Cnunt�r ma3ces no represera orlon that is granting a permit tivill authorize thedperrn holderto build the sr161ect re
isin rnnflictwithh as►Y applicable Home Owners Assoaation pules,Taylaws or an covenants that may restrict or proh�it
re. such
in consideration of-the granting ofthis requested permit,I do hereby agree that I will,In all respects,perform thework
in accordance with the approved plans,the Florida BuIlding Codes and St.Lucie County Amendments,
-The following building permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,suntruning pools,fences,walls,signs,screen rooms and accessory uses to another non-residerreal use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection.if you in-tend to obtain finianding,consult iWith lender or an attorney before
commencing work or recording your Notice of Commencement
0000'
tZit—re of Owner]ASeW Lessee afore of Contracto cense Holder�
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COU""OF SAINT LUCIE
The foreding instrulMent wa.$acknowledged before me Thefv�mginstrurnentvm acknowledged before me
is
th-g��day 'W by _sindayof ZDI.<by
I
_1t%MEEW_LAW JAMES W LAW
of parson acknowledging) (Name of person acknowledging)
Na Public-State of Florida I Notary Public-State of Florida
Personally Known, V' ORProducedIdentificadon
Sij�. otaryPublio-9
7114
Personally Known OR Produced identification Type of Identification Produced
Type of identification Produced
JUUET LAW
EE W906 NOTARY PMIC Commission No. _EE 846906 PUBUC
Commission No. OF FLOFUDA STATE OF FLORIDA
Cornmf EE84M6
Expires 10t28!2016
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR' PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
pATE
COMPLETE . ........ ... ......... ..... .....
INITIALS I
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