HomeMy WebLinkAboutBuilding Permit Application ALLAPPUCABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1020 Permit Number: 7 1
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (M)462-1553 Fax:(772)46Z-1578 Commercial Residential ix
PERMIT APPLICATION FOR: Electrical Q
PROPOSED INPROVEMENT LOCATION:
Address: T
Legal Description:
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Property Tax I D#: 1306111-0001-0001a a c 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
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CONSTRUCTION INFORMATION:
zona wor to e e orme under tispermit—c ec a appy: f'
HVAC Gas Tank Gas Piping _Shutters E]Windows/Doors
Electric E Plumbing OSprinklers E]Generator ❑Roof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Construction:$ SOO• oO Utilities Sewer"Septic Building Height:
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Narne: 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: PortSt.Lucie: State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax.. 772-876-3347
E-Mail: Phone No. 772-971-451,2
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. i
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE.SIIaNERjENGINEER: a/ Not Applicable MORTGAGE V Not;Applicable
Name: Name.-
Address:
ame:Address: Address•
City: State:
= � "s Stam:
Zip: Phone: Zip:
FEE SIMPLE TITLE HOLDElb Not Applicable BONDING COPA PANY: `
Not Applicable
Name: Name:
Addn+iss: Adder: �
CItV1
Z`i Phone:
Zip: Phone:
r
1 cerdrythat no work orinstallation has commenr 4vdor•to the bsuance ofa permit~, �
5t,Lucie nmkes no rep on that is grand apermitwiil authodke the�aer:»it hold=build the subject structure
vuivch is i�ict with any applicab a Home Owners Assooal3on rules,iaytaws ar and covenants that may restrict or roi►ibit such
structiae.Flease oansult wcth your Home t3v�rners Assac�ian artd review your deed far any restrictions which mar appip
in cansideraCion ofthe granting of tbis rrquest�l permit;t do hereby agreethat i w�,in alt respe�s,,perform fihe!wark
in accordance with the approved plans,the Florida Building Codes and 5t Lude County Amendmeirts.
ThefalloWmg building permitapplicationsare exeamptfiom undergoing a full oonowency rev*w:jroorn additions,
accessary structures,swimniing pools,fences:walls„Agris,screen moms and accessory usestb anodes non-readenlN use
WARi111NG TO OWN 8h YCW failure lb Record a Notice of Comirrenrernant may result in your papingfiwice for
improvements to Your property.A Notice of Commencement must be recorded and posted on the jobstte
before the first inspection.If you intend to obtain financing,consult with lender dr an attorney before
cDmmendnjj work or recording Notice of Commencement.av,
.
tignatdre of owner•/Agentj I e SbWatme of Contract,or/Llcensia Holder
STATE OF OLORIDA - STATE OF FLORIDA J,
COUNTY OF SAINT LUCIE COUwy of SAIl1IT LUOE_
Theforgoing Inst upi win arkn lhledged b�f�,ne rine The forMing instru•ve,���u,ua-s e_elsVedged before me
tFi °f-�+ ` 'F2°EY fitsifay�sf
-by
90
. AMES W LAW JAMES W LAW
Dame of person acknowledging) [glome of person admowledg pg)'
(SI Notary Publi-state of Florida) (Sgnature otary Public:-State of Florida)
Personally Known '✓r OR Produced Ideniificoon Personally Known ' ✓' OR Produced ldeirtifiration
Type of Identific oon Produced 0 EX LAW Type of Wentilicatian Produce
i OTAitYPUBLIC - [i JULIET-LAW
Co on No EE 4G91?G ATE OF FLORIDA commission No. �946906 � GARY PUBLIC
Cacn» EE8461i06 'STATE OF FLORIDA
Revised 07/151MI j" E 40l:zBt2�tFi
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REVIEWS FRONT ZONING SUPERVISORS . PLANS VEGETATIoN,'.- SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW ( REVIEW! REVIEW
DATE
COMPLETE
INITIALS
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