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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 4&,f I Permit Number- \-Ja a WA Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax-J772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical -PROPOSED IMPROVEMENT LOCATION: Address: Ir IV 7 Legal Description: Property Tax ID#: 3414-501-1701-000/9 Lot No. Site Plan Name: Block No. Project Name: Setbacks FrontBack: Right Side: Left Side: [DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: Adclitionalworl(tabenertOrme d under this permit—check all that apply: L. [---IHVAC E]Gas Tank E]Gas Piping UShutters Windows/Doors IJ Electric Plumbing FlSprinklers Generator Roof Total Sq. Ft of Construction: Scl.Ft.of First Floor: Cost of Construction:$ C) Utilities:0Sewer 0 Septic Building Height: -OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Law Address-- 8000 S US#I Suite 402 Company: Laws Electric, Inc. City: Port St Lucie State: FL Address: 218 Beach Avenue Zip Code- 34952 Fax: City: Port St.Ludle State: FL Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347 E-Mail: Phone No. 772-971-4512 Fill in fee simpleTitle Holder on next page(if different E-Mail: lawselectricin0@80J.0orn 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. =J l,-d 99z1,_699_699 AAV-1 dq7�-.i7n 4zi- c-n Bnw SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: NotApplicable ­­ MORTGAGE COMPANY': Not APPlicable FN a FFme-. Name: Address: Address: C'[tY-- —State:— aw -State: Zip: -Phone: Zip: Phone: FEE SIMPLE TffLE HOLDER: k/ Not Applicable BONDING COMPANY: NotAripli —%/—.I cable Name., Narne- Address: Address: Cityr. co:_ Zip.- Phone: zip. Phone: - ----------- I certify that no work crimstallation has commenced-priorto the issuariceafa pen alt %,n ure wt�M'uh'ls such ,�Tcn*cu imrt�' Plac suit wstlt your Horne Owners Associatlan and review your deed f©rant'restrictions whcch may apply. in consideration of the granting of this requested permit I do hereby agree that I will,in all respects,perform the work in ac with the approved plans,the Florida Building Codes and St.We*County Amendments. ' I Thefollom(ing,building permit applications are exemptfrom undergoing a full concurrency reVip-w-r_mom additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses t6 another nonresidential use WARNING To OWNER:Your Ulum to Record a Notice of Commencement may result in your paying twicefbr improvements to your property.A Notice of Commencement must be recorded and posted an the jobsite before the first inspection.If you intend to obtain financing,consult mirth lender or an attorney before commencin work or recording your Notice of Commencement. ignature of Owned Argentl Lessee Plature of ContraEtarlUcense Holder STATE OF FLORIDA STATE FLORIDA COMM OF �AINT LUCIE COUNWOFOF SAINT WCIE 'rhefererrfinginstrurne was a Onowledged bore me Theforgring imstrum_qnt was acknowledged before me this t3ay of 20L<by th*. ay ofQY4eg a -1.4MES W LAW JAMES W LAW {name of person acknowledging) (Name of person adcriowledging) (sign*arur4%f Notary Public--StateofFlorida) ­tn�r pq -,4bf Notary Public-State of Florida) personally Known OR Produced Identification Personally Known V OR Produced Identification Type of Identification Produced 1111 IET I AW Type of identification Produced JULIET LAW IEE 846966 NOTARY PU13LIC Commission No. EE 846906 u PUBLIC Commission No_ AMM OF FLORIDA j rLSTATE OF FLORIDA CDmm#EE84WW C I _; --orntilgeEfina —E#10�, loam is' F-*res 1012MD16 Revised 07l1:5/20-14 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW —E T FA_E COMPLETE INITIALS Z-d 99ZK99_699 MVI d9Z:,V0 9L Co 6nV