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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �/ Date: �� D/� Permit Number: _Ile 0� -04 fy Building Permit Application TS Planning and Development Services 2 9 2016 Building and Code Regulatlon Division 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical PROPOSED IMPROVEMENT LOCATION: Address: Legal Description: Property Tax 1D#• 1306111-0001-00019 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 pack [CONSTRUCTION INFORMATION: AdOrtiOnBI work to pe performedunder this permit—c ec a apply: QHVAC 1J Gas Tank RGas Piping _Shutters E]Windows/Doors ZElectric 0 Plumbing Sprinklers Generator ElRoof Total Sq_Ft of construction: S Ft.of First Floor: Cast of Construction:$f.. ��� !�U Utilities Sewer F 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: 772-678-3347 E-Mail: Phone No. 772-971-4512 Fill in fee simple Title Holder on next page{if different E-Mail: lawselectdcinc@aol.com from the Owner listed above). State or County License: ERGOOD122 if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. 6'd -8926-699-699 LtVCC8L8ZLLMV'1 ebC:60 96 6Z clad SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I 1�ESlGNERJENGiNEfiR: -./ Not Applicable MORTGAGE COMPANY- Not Applicable Name.• Marne: Address: Address: Crty: State: City: State: Zip: Phone- Zip-- Phone: FEE SIMPLE T11 HOLDER: V Not Applicable BONDING COMPANY: -1/—Not Applicable Mame: Name: Address: Address. City: City: Zip: Phone: Zip: Phone: I cer*that no work or installation has commenced•prior•to the issuance of a permit. st.Lucie County makes no representation that is granting apermit will authorize thepermitholder to build the subject structure which is In confect with any applicable Home Owners As�ociatlon rules,bylaws or an covenants that may restrict or prohibit such structure.Please consult wKh your home Owners Association and review your deed forany restrictions which may apply. in consideration ofthe granting of this requested permit,l do hereby agree that I will,in all respects,perform the work in accordance w4th the approved plans,the Florida Building Codes and St.Lude County Amendments. Thefollowing building permst applications are exempt from undergoing a full concurrency reAew:room additions, accessory structures,swimming pools,fences;walls,signs,screen rooms and accessory uses to anotlser non-residential use WARNING TO OWNER:Your faiilure to Record a Notice of Commencement may result in your payisgtwice for improvements to your property.A Notice of Commencement rust be recorded and posted on the jobsite before the first inspection. If you intend to obtain financing,consult with lender or an attorney before commencing work or recordingur Notice of Commencement. Signa a of Owner/Agent Lessee snature of Contractor/License Holder SPATE OF FLORIDA SAINT LUCIE COUNTY OFSTATE OF SAINT SA1NT i.UCiE. COUNTY OF Thefor oing instnim �arknn'uIedged before me The forxoing instru nt s acknowledged before me tti 1 ay J 1.20 Zaby this,�,dayo� [ ZDy/¢"by .,TAMES W LAW JAMES W LAW (Name of person acknowledging) (Name of person acknowledging) (5 f Notary Public-State of Florida} (5sgnatureotary Public State of Florida) Personally Known ✓ OR Produced identification Personally Known z OR Produced ldentific'ion Type of IdeYffication Produced Type of Identification Produced NOTARY PUBLIC JULIET LAW EE 846906 Commission No_ EE 8469064&N d fAi2Y PUBIC Commission IVa — - ATE OF FI.oRIDA STATE OF FLORIDA Comm#E8FLORI Com ti Explres 1012aMIS Revised 07115/2014 REVIEWS FRONT ZONING SUPERVISOR PLAINS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ©ATE COMPLETE INMALS Z•d -99Z6-699-i99 LtCC9L9ZLLMV� 8b£:60 96 6Z Gad