HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application FEBPlanning and Development Services SEB 2 9 2016
Building and Code Regulation Division
2300 lrrginfo Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address: -7
Legal Description:
Property Tax ID#: 3434501-1701-00019
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 at each address
CONSTRUCTION INFORMATION:
rtiona wor to a Orme under this permit—check a appy:
HVAC E]Gas Tank ❑Gas Piping Shutters E]Windows/Doors
Electric F]Plumbing OSprinklers [:]Generator 13—Roof
Total Sq_-Ft of Construction: S Ft.of First FF1'o�or:
Cost of Construction:$ j�d0 - QO Utilities: L_l5eptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp_ Name. James W Law
Address: 8000 S US#9 Suite 402 Company: Law's Electric, Inc.
City: Port SL Lucie State: FL Address: 298 Beach Avenue
Zip Code: 34952 Fax: City: Port SL Lucie State. FL
Phone No. 772-878-5593 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.
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SUPPLEMENTAL CONSTRUCflON LIEN LAW INFORMATION:
DESIGNERjENGINEEM Not Applicable - MORTGAGE COMPANY: V Not Applicable
Dame- Narne-
Address• Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: -.s/NotApplicable
Nalne: Name-
Address: Address:
MY: City:
ZIP: Phone: Zap: Phone-
I certifythat no work or installation has commenced pnorto the issuance of a permit
st Lude Counttyy makes no representation that is granting a permit will authorize the permit holderto build the submit structure
which is in,conflistwrth any applicable Home Owners Association rules,bylaws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Assodation and review your deed fbrany restrictions which may apply.
In consideration of the granting of this requested permit,I do hereby agree 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 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-residenSal use
WARNING To OVMER:Your failureto 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
beforethe'first inspection.if you intend to obtain financing,consult With lender or an attorney before
cornmendins work or recording our Notice of Commencement.
F-rheforgoing
mmerj Ag Lessee gnature of Cont ractorlUcense Holder
FLORIDAN.1.LLFCIE COUNTY OTE OF F.ORIDFi SAINT'LUCII
STA
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inst►umentwacnrkn--ledged re meThefnrpo nginstru�e*►t�,vaacknowledge re me
of zoz4by
JAMES W LAW .TAMES W LAW
(Name of person acknowledging) (Name of person acknowledging)
(SignaifiiNqo5tariy;puLblic�-StateofF[oiidaj (Signature otary Pubblic-State of Florida)
Personally Known V/ OR Producers ldeniifica ion Personally Known V OR Produced IdentVication
Type of IdentifCcation Produced Type of identification Produced
NOTARYPIIBLIC LSTATE
AW
EE 846906 Commission No. EE 846906 ^ PISLIC
Commission No- -- ATE OF FLORIDA ��Corr+i EEB46908
IDA
Expires 141=016
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INMALS
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