HomeMy WebLinkAboutBuilding Permit Application ALL APPLIC#BLE I!NFO MUST, ---,BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date*
A . '
Permit Number-
RECEIVED S 2,0
Building Permit AP V
P cation
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierre FL 34982
Phone:(M)462-1553. Fax, (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PR6PG5EDJNPROVEMtNt1" ItATION:'."
Address:
Legal Description:
Property Tax lD#: 1306111-0001-0001-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
'SC 'W-0A ,
D&ARED b.E Rt-PTION F
X
Replace meter center with a combo pack
Additional work to be nerformed under eck all J=apply:
L HVAC M= "Shutters F]WInclows/Doors
bene
Gas
Electric F�Plumbing OSprinklers [iGenerator El Roof
Total Sq-Ft of Construction: SQ.Ft.of First Floor:
Cost of Construction: C) Utilities:0 Sewer Fleptic Building Height:
OWN ERAESSEE: -CONTRACT-OR:
Name Wynne Building Corp- Name: James W Law
Address: 8000 8 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. 772-971-4512
Fill in feesimple 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 CONSTRUCnON LIEN LAW INFORMA-11ON:
-YEWOUE-kjtNGINEER.- NotAp`p1T!cabIe--' ----'MORTGAGE EO-M'PANV--- N/ Not Applicable
Name: Name:
Address: Address:
City-, State: City:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER:- -V—Not Appricable BONDING COMPANY: Not Applicable
Name: Name:
Add re,ss-. Address:
City: city:
Zip: Phone: 2!p-. Phone-
s certify that no work or installation has commenced.priorto the issuance of a permit
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which Is rtcoIrt wfth any applicable Home Owners Assoaation rules,bylaws or and covenants that may restrfct or prnhbit such
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consult wrkh your Home Owners Association and review your deed far any restrictions whicch may apply.
in consideration of-the granting 6f this requested perms I do hereby agme-that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes-and St.Lucie County Amendments.
The following building PeWit applipations are exempt from undergoing a full concurrency review:morn additions,
accessory structures,swimming pools,fences,walls,signs,screen reams and accessory uses t6 another non-residential use
WARNING To OWNER:Youribilure to Record a Notice of Commencement may result in your praying twice for
improvements to your property.A Notice
of Commencement must be recorded and posted on the jobsite
before the first inspet�tion.If you I to
obtain-financing,consult With lender or an attorney before
lance of Commencement.
Snature of Owner/Agent/Lessee Stfiature of Contractor/License Holder
13
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �AI�NTLU�CIE COUNTY OF SAINT LUCIE
Theforoning instrument was acknowledged before me The fbrualng instrument was acknowledged before me
imiay of---5-�t- 20.2'6 y
,,FAMES W LAW .TAMES WLAW
(Name of person acknowledging) (Name of person acknowledging)
[Sign *reW Notary Public-State of Florida
pinatur'L�bf Notary Pubic-State of Florida
Personally Known OR Produced Identification Personally Known V"" OR Produced ldentil ion
Type of Identification Produced Type of Identification Produced
JULIEr LAW
�PNC
NOTARY PUBLIC
EE 84690 5 commission No. -15E 846906 PUBLIC
commission No............... - E OF FLORIDA
(V!:§:rA-'f OF FLORIDA
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nW-EE846906
Expires 1012812DIS
Revised 07115/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW- REVIEW REVIEW REVIEW REVIEW REVIEW
5A—TE
COMPLETE
INITIALS
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