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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED [1�1 Date:7,,C s A6 Permit Number. ��o. ��'�` q RECEIVE® Building Permit Application MAR 2 6 2016 Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierre FL 34982 Phone:(7721462-1553 Farc(772)462--1578 Commercial Residential x PERMIT APPLICATION FOR: Electrical PROPOSED INPROVEMENT LOCATION: : Address: Q4 Legal Description: PropertyTax ID#: 3414-501-1701-000/9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Fro t Back: -!tight Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter.ceaier with a combo pack &nalworRtoberformed TRUCTION INFORMATION: -under this permit—Efiecic all appy: 11HVAC Gas Tank ❑Gas Piping _Shutters ❑""""1.=1 Windows/Doors Electric Plumbing Sprinklers Generator Roof Total sq.Ft of Construction: S Ft.of First Floor: Cost of Construction:$ /f'W UO Utilities: Sewer L�JSeptTc Building Height OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Law Adder. 8000 S US#1 Suite 402 Company: Law's Electric, Inc. City: Port St Lucie State:F- Address: 218 Beach Avenue Zip Code: 34952 Fax: - may. 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 Halder 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$?S00 or more,a RECORDED Notice of Commencement is required_ 1'd -8926-199-695 LV0C9L8ZLLMV1 %V:01, 91, 8Z JaIN i SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMAMON: DE91Gl1 W9NGINEER: V Not Applicable - MORTGAGE COWANY: V Not Applisabie Name: Name: - Address: Address: Clty: State: CItr- State: Zip: Ph©me Zip: Phone: FEE SIMPLE TITLE HOLDERe Not Applicable BONDING COMPANY: _V Not Appricable Name: Name: Address: Address: Zip: Phone: Zip: Phone: i , _ 3 !cer fythatnoworkorinstallationhascommencedpriortotheIssuanceofapemdt- St.Lucie ar�tty makes rro r+epreserrial5on that is granting a permit will authorize the�emtit hoiderto build the subjectstructure St 1 is in caMlict wish an applicable Home Owners Assocratlon ruled bylaws or an covenants that xnay restrFct ar profibik permit- such structure.Please consultvui your HomeownersAssodation and reurewyovr deedforany restfictions vuhicfr may apply. in consideration oft he granting ofthis regvested permit l do hereby agreethat t vAll,in all respects,perform the work in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments. -rhefollowing building permit applicedonns are ealemptfrom undergoing a full concurrency realer:room additions,, acrossMsuucwres,swimming p00%*nces,walls,s►gns,screen rooms and accessory usmt6 anothernon-readenuai use WARNING TO OWNER:Youriailm a to Record a Notice of Oammencement may result in your praying timme 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 vAth lender or an attorney before comznencin vvorlc or recording ur Notice of Commencement 5rgrr of Owrnerf AgentLessee sronature of Cxoxase Border STATE OF FLORIDA . - STATE OF FLORIDA C[tLlltTl�V t F SAINT LUCIE COt#1117'Y OF SAINT Ll3ClE_ The fu 11 ins +ntv c ar•kn ledged1 re Wore Th_eforWng i ment was ad,mrLotw,ledged before me thissiay of,�+ ,.L. • 20 „ ray of_,, , Es W LAW JAMES W LAW (Name of person admowledg{ltg J (Name of person admowledging) �5' f Notary Pabii-state of Florida j (Signature. otary Public-state of Florida) Personally Known -./ OR Produced idenocation Personally Known t+e OR Produced Iden ation Type of ldentRi cation produced Type of identification Producers ,luU LAW FE 845906 NOTARYPUSUG �issfan Na_ EE 845905 - �ro Y PUBLIC Commission No. ATE OF FUMA .AF ��Lloarrfng EES�i6906 �gtltQ12Bl0�6 Revised 0711512014 REVIb�iFS FRONT' ZONING SUPERVISOR PLANS VEC,`E7 ATiC3N SEA TURTLE MMIGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW PATE . COMPLETE INITIALS . Z•d -89ZL-L99-499 Lt,888L8ZLLMV1 18%,:M 9L 8Z JON