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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number. I LOCIREC `/ I Building Permit Application JAN 13 2016 Planning and Development Services PERMITTING Building and Code Regulation Division St.Lucie County, FL 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553. Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical 0 PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax ID#: 130111-0001-00016 L Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: FDETAILED DESCRIPTION OF WORK:-: 4s Replace meter center with a combo pack— CONSTRUCTION INFORMATION: Additional work to be Dertormed under this permit—check all appy: HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors Ir f Eiectric ElPlumbing ❑Sprinklers F Generator 1:1 Roof Total Sq.Ft of Construction: S .Ft.of First Floor: Cost of Construction:$ �ad• O Utilities"nSewer Septic Building Height: -OWNER/LESSEE: 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: Fort 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: EROODD122 If value of construction is$2500 or more,a RECORDED Notice of Commencement is required. £'d -8926-699-699 Lti££8L8ZLLMH­l 8017:80 91, Cl, Uel' SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: ©ESIGNERIENGINEER: -.-* Not Applicable MORTGAGE COMPANY: ✓ Not Applicable Name: Naive: - Address: Address: City: State: Clty: State: Zip: Phone: Zip: Phone: FEE SIMPLE Tr ME HOLDER: V Not Applicable BONDING COMPANY: _&/_Not Applicable Nage: Name: Address: Address: CftT- ZZip: Phone: Tp: Phone: I certifythat no work or installation has commenced.-priorto the issuance of a permit St.Luse Counttyy makes no representation that is granting a permit will authorise thedpermit ho?der to build fhe subjectstructure which>s In confi ict with any applicable Home Owners Assoaatioa rules,bylaws or an covenants that may restrict or prohibit such structure.Please consult with your Home owners Association and revitewyour deed far any restrictions which may apply. In consideration of the granting of this requested permit,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 exempt from undergoing a full concurrency review:room additions, accessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential 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 intend to obtain financing,consult w]th lender or an attorney before commencin work or recordingour Notice of Commencement. Si ature of Ownerl Agent/Lessee nature of ContractorfUcense Holder STATE OF FLORIDA SAINT LlfCIE COElTI1EITO1lF4FORIDA SAINT LUCIE COUNT, OF Theforgoing instrum twas acknowledged before me the f go n of instrument was acknowledDged l+efare me t _Z,-7 day of z0 Abp —3- Y. Ay -JAMES W LAW JAMES W LAW (Name of person acknowledging] (Name of person acknowledging) ' (Sig Notary Public-State of Florida) (Seri Notary Public--state of Florida) Personally Known OR Produced Identification Personally Known OR Produced Identification Typeafldentification Produced Type oftdentification Producer] NOTARY tallt3LIC - dE1L1Er LAW Commission No_ EE 846906 ATE OF FLORIDA Commission No_ EE 846906 ARY PUBLIC of —-- Comm#EEFLORI STATE OF FLORIDA t F_xpires 1012 MIG Revised 4711512014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE L[INITIALS , - b'd -89Z6-699-699 L'�££8L8ZLLMVI a0t7:80 96 86 uaf