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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICA BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED *� Q Date G//��! �Or� Permit Number. © L- { D �. RECEIVED Building Permit Application NOV 18 2015 Plonning 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 J PROPOSED INPROVEMENT LOCATION: . Address: er� CD Legal Description: Property Tax ID#. 13046-111-0001-000J.0 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pa CONSTRUCTION INFORMATION: Additionalworl(topeperformed un ert ispermit—c hecka appy: HVAC 0Gas Tank FIGas Piping _Shutters Q Windows/Doors ElElectric El Plumbing Sprinklers D Generator LJ Roof Total Sq. Ft of Construction: S _Ft:of First Floor: Cost of Construction:$ ��� �d Utilities. SewerSeptic Building Height: OWNERAESSEE: CONTRACTOR: 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. 772-971-4512 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: ERCOOD122 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. E'd -8926-659-695 LVCO2L8ZLLMV1 eL6:06 96 86 AoN SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNERJ)~NGINEER: / Not Applicable MORTGAGE COMPANY.- al Not Applicable Name: Nafne: Address- Address: aty: State: Gty: State: Zip: Phone- Zip: Phone_ FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: _NotApplicable Name: Name: Address: Address: City: may: Zip: Phone: Trp: Phone- s certify that no work ar installation has comm enced-priorto the issuance of a p ermat st Lucie County makes no representation that is granting apennitwill authorizethedperinit holder to build thesubjectstructure which is in conflict with any applicable Home Owners Association ruled bylaws or an covenants that may restrict or prohibit such stmewe.Please consult math your Home Owners Association and review your deed for any restrictions which may apply. In consideration ofthe granting ofthis requested perrmt,I do hereby agree that 1 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 permit applications are exemptfmin undergoing a full concurrency review:room additions, accessary structures;swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use WARNING TQ OWNER:Your failure to Record a iNoUce of Commencement may result in your paying twice for improvementsto your properly.A Notice of Commencement must be recordedand posted on the iobsite be€ore the first inspection.If you mtend to obtain financing,consult wrtll Lender or an attorney before commenci work or recordin our Notice of Commencement. *:- ature of Ownerl Agentl Lessee 56atureofContrac1bor/L-icense Halder STATE OF FLORIDA STATE OF FLORIDA COMM 01= SAINT Ll1CiE COUNTY OF SAINTLUCK he fnrnoing insbv rat.was acknowledged before me The fireoing instn,ment was acknowledged before me this_1�tlav of 20 Eby this. -day of20r,.::5-by ,,[aMES W LAMP JAMES W LAW (Name of person acknowledging) (Name of person acknowledging)' w (Signa Nota�Pubric­suteof Florida) (Signata Notary Public-State of Florida) Personally known � OR Produced Identifia�tion Personally Known V"' OR Produced Identification Type of identification Produced Type of Identification Produced NOTARY PUBLIC JULIET LAW Commission AIo_ EE 845906 _ ATE pF FLORIDA Commission No_ -EE 846906 ARY PUBLIC — - STATE OF FLORIDA Comm#EE8M05 Expires 102812016 Revised 07/1512014 REVIEWS UE �VIESUPERVISOR PLANS vON 5 ATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEWREVIEW REVIEW DATE COMPL1=rE iNMALS - t,'d -89ZL-L99-L99 LtSS2L8ZLLMV] ELVOL 9L 8L AoN