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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date- Permit Number•, 42�� Building Permit Application Planning and OevelopmentServices Building and Code Regulation Division 2300 Virginia Avenue,Fart Pierce F!34.982 Phone:(772)462-1553 Fax:(772)4621578 Commercial Residential X PERMIT APPLICATION FOR: Electrical PROPOSED INPROVEMENT LOCATION: Address: Legal Description: - Property Tax ID#: 1306111-0001-000i40 Lot No. Site Pian Name•. Block No. Project Name: Setbacks Front Back: Right Side: Left Side: I DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack, f, i CONSTRUCTION INFORMATION: mons wor to a orme under is permit— e a apply. fn L HVAC Gas Tank ❑Gas Piping _Shutters aWindows/Doors RElectric Plumbing Sprinklers 0 Generator Roof Total Sq.Ft of Construction: SQ.Ft.of First Floor. Cost of Construction:$_ 0D 610 Utilities:Sewer Septic' Building Neighs OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Law Address: 5000 S US#1 Suite 402 Company: Law's Electric, Inc. City: Port St.Luce State: FL Address: 218,Beach Avenue Zip Code: 34952 Fax: City Port St.Lucie State- FL PhoneNo. 772-876-5513 Zip Code: 34952 Fax: 772-878-3347 E-Mail: Phone No. 772-979-45'12 Fill in fee simple Title Holder on next page(if different E-Mail: iawselectrianc@aol.com from the Owner listed above) State or County Ucense.1, ER0000122 If value of construction Is$2500 or more,a RECORDED Notice of Commencement N required!, 6'd -89Z6-699-698 Lti££8L8ZLLMV1 e65:60 % £6 jdV 'I. SUPPLEMENTAL CONSTRUCTION LIEN LAW 1NFORMAMON: 5ifflGAIERJEMGINEER: V Not Applicable - -- MORTGAGE COMPANY: ,! Not Applicable Name: Natne: Address: Address- Crty: State: City: .1 State: zip_ Phone: Zip: Phone: i FEE SIMPLE TITLE HOLDER: _.L/_Not AppGeable BONDING COMPANY: Not Applicable Aflame: Name: Address: Address: Phone: Tip: Phone: I. I certify that no work or-Installation has commencedgriortothe issuance ofa permit St Lucie Corusty makes no representation that is granting a permit wt11 authorize thepermitholder,to bind the sublect structure wh5ch i5 in corix with auanyt a�pplicable Home Owners Association les,bylaws or an covenants that may restrict or pr+oh i t such structure-Please consult writ your Horne Owners Association an review yourdeed forany restricumswhich may apply. in consideration ofthe granting ofthis requested permit, I do hereby agreethat I will,in all respec)M perform the.work in accordance wins tate approved plans.the Florida Building Codes and St.Lucie County Amendments. The follouimS building p em s, applications are exempt from undergoing a full concurrency review;i room additions, " accessory strnctwes,swimming pools,fences,walls,signs,screen rooms and accessory usestfo ani thernon-residential use WARi1DNG TO OWNER:YourUlure to Retard a Notice of Cwtunencement may result in your payingtMce 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 with tender or art attorney befbre coffirnencing work or recording ur Notice of Commencement- re ommencementre of Owner/Agent)Lessee of Contractor/Ucense Bolder STATE OF FLORIDA SrATE OF SAI6�I�•LLICIE LORI©A SAINT LUCRE- COUN'ltlf OF Theforgoing" Ws acknpwledged before me Thefbrpoinginstrtr W-*Fknnwledged before me this. qday of 1�GbY Whi44� y JAMES W LAW JAMES W LAW !Name of person acknowledging) (lame of person acknowledging)' M -f Nota Pubblic-Sate of Florida) (STrgrra Notary Publlc-State of Florida,) Personally Known ✓ " OR Produced ideriMcaticon Personalty Known r✓ ORProducedIderiMicadon Type of Identification ProducedfldType oermfication Produced NOTARYPUBUC - dUIJt=T LAW Commission L\lo_ AghIe E 84SWiS ATS OF FLORIDA Commission No. EE 8459(16 lIt�ARY PUBLIC . CarrprfisEE8469D6 %WC-dmm#EE846M STATE OF FLORIDA E fres imams Revised 07M/24I4 I REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION, - SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW L7A"fE COMPLETE L MALS Z'd -89ZL-L99-L99 Lb££8L8ZLLMt9 s00:0L 9L £L SAV