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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date:lit Permit Number: LO© I l n 2— • REC � Building Permit Application JAN 13 2016 Planning and Development Services Building and Code Regulation Division PERC&ITfING 2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL Phone:(772)462-1553. Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical J PROPOSED INPROVEMENT LOCATION: Address: / Legal Description: Property Tax ID#: 1 30 111-0001-00016 L Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF Replace meter center with a combo pack CONSTRUCTION INFORMATION: Aidditional work to tie performedunder this permit—check all that appy: HVAC lJ Gas Tank F]Gas Piping Ll_Shutters ❑Windows/Doors Electric Plumbing Sprinklers Generator Roof Total Sq.Ft of Construction: SC Ft.of First Floor: Cost of Construction:$ Utilities:LJ Sewer 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: 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: ER0000122 if value of construction Is$2500 or more,a RECORDED Notice of Commencement is required. 6'd LtEC8L9ZLLMVI e0t;1:80 91, Z6 uaf SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER%ENSINE ER: / Not Applicable MORTGAGE COMPANY: ✓Not Applicable Name- Name-. Address: Address: City: State- City. State: Zip: Phone: Zip: Phone: FEESIMPLE III HOLDER: _j/ Not Applicable BONDING COMPANY: _sel Not Applicable Name: Names Address: Address- City: City: Zip: Phone- Tip: Phone- 1 certiry that no work or installation has commen ced•prior to the issuance of a permit 5t.Lucie Gouty�y makes no representation that is granting apermitw6l authorize the permit holderto build the subject strvcLure which is in conflict with any applicable Nome Owners Association rules,bylaws or and covenants that may restrict or prohbit such structure Please consuk with your Nome Owners Assocration and review your deed loran,restrictions which may apply. in consideration ofthe granting of this requested permit,I do hereby agree that I ur71,in all respells,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:roam 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 inyour paying twice for improvements to your property.A Notice of Commencement must be recorded and posted on the jobsiite before the first inspection.If you intend to obtain financing,consult with lender or an attorney before commencing work or recording our Notice of Commencement Signa re of owner/Agent/Lessee Srgnature of Contractor/License Holder STATE OF FLORIDA - STATE OF FLORIDA COUNTY OF SAINT WCIE COUNTY OF SAINT LUCIE 7heforgoing in entwac nrimnimledged b re me The forgoing lrwm entwas acknowledged before me this !A day of�, 20 Zaby this_3 day of 20,6Zby JAMES W LAW JAMES W LAW (Name of person acknowledging) (Name of person acknowledging)' (Signa Notary Public-State of Florida) (Signatureotary Public-State of Florida) Personally Known OR Produced Identification Personally Known V/' OR Produced Identification Type of Identification Produced 'type of identification Producer' WrAE OTARYPIIBLIC t JULIET LAW Commission ilio_ EE 846906 — TOF FLORIDA Commission No. EE 846906 d�IjrARY PUBLIC omm#EES469DB STATE OF FLORIDA Expires 10/26120!6 Revised 07/15/2014 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGECAMON SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INrl7ALS Z'd -89Z6-699-699 LtEE8L9ZLLMdI 130t,:90 96 B6 uaf