HomeMy WebLinkAboutBuilding Permit Application I
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ALL APPLIc.ARt.E INFO MUST BE dC,OMPLETED FOR APPLICATION TO BE ACCEP'T'ED
Date:- /�� Permit Nulmber:
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Building Permit Application
Planning and Developmentservices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)4.62-1553 Fax: (772)452-1578 Commercial ! Residential X
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PERMIT APPLICATION FOR: Electrical j
PROPOSED INPROVEMENT LOCATION:
Address: 5-7-4-71-D c�i1A
Legal Description:
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Property Tax ID#: 3414-501-1701-00019
Lot No.
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: Right Side: L.eftSide�
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DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
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CONSTRUCTION INFORMATION:
Additional work o be Derformea under this permit—c ec a apply: r
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LJHVAC Gas Tank ❑Gas Piping _Shutters I Windows/Doors
QElectric Plumbing Sprinklers -Generator 1
iI Roof
Total Sq. Ft of Construction: Sq.Ft.of First Floor.
Cost of Construction:$ � 9 D?9' .c3� Utilities:MSewer Septic Building Height:
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OWN ER/LESSEE: CONTRACTOR
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Name Wynne Building Corp. Name: James;W Law ,J,
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 I State: FL
Phone No. 772-878-5513 21p Code: 34952 1 Fax: 772-878-3347
E-Mail: Phone No_ 772-971-4512 1
Fill in feesimple Title Holder on next page(if different E-Mail- lawselectricin4aol.com
from the Owner listed above) State or County License: ORCOOD122
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: �
DESiGNERJENGiNEER: NotApplicable MORTGAGE COMPANY: ti/ Not Applicable
Name: name-
Address Address.
State: C-Ity- State.
Zip:
Phone: Zip: Phone:
�p:p'
FEE SIMPLE TI I HOLDER: _BONDING COMPANY: Not Applicable
Name- Name:
Address: Address- 1
MY City'
Tip: Phone- dip: Phone:
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1 certify that no work orinstallation has commenced pdortothe issuance of permit
st Lucie county makes no representaticri thatis granting a permit mnyi
authorize the perrn':t holder,to build the subjectstructur+e
which Is in conWxx w th a V cable Home Owners AssoaatIon rules,bylaws or and covenatns that may restrict or prohibit such
structure.Please consult w h your Hoene Owners Assodation and review yourdeedfiorany restrictions Vlach may apply.
in consideration ofthe granting ofthis requested permit,l do hereby agreetha't l will,in all respells,perForm the work
in accordance WO the appruved plans,the Florida Building Codes and St.Lude County Ainencimeks
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Thefollowimg build-mg permit applications am exemptfrom undergoing a full concwrency remewr.froom additions,accessory structures,swmurung pools,fences,uWL%signs,screen rooms and accessory usesta anathernonrresidert W use
WARNIIHG TO OWNi:R:Vourfailureto Record a Notice of Con mencemc, t may result!iRyour payingtwicefor
Improvements to your property_A Notice.of Commencement must be rec6rded and pasted on the jobelte
before the first inspection.if you intend to obtain financing,consult with Sender Qr ari attorney before _
contmendn work or recordinVour Notice of Commencement
Sfat ire of owner/Agent/Lessee ture of Contractod cense Holder
STATE OF FLORIDA STATi:OF FLORIDA
SAINT LUCIE_.
COUNTY OF SAINT LUCIE COUNTY OF
�cknrnnA- I -ed d before me
The fora Ingi y0asactcnpw]edgedbefore me Theforaaing- ,, } I;a
this`, 'day of _io-A"p this' day of — - -by
•,[ANTES W LAW JAMES W LAW
{ZWe-of person acknowledging)
(Name of person aclmawledgi ng}
{5 Nota Pub tie-State of Florida) Pw ata Glary Public-State of Florida
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Personally awn ✓ OR Produced identification Personally Known i OR Produced ldeMK`ication
Type of ldentincadon Produced fi
Type ofIdercation Produced
NOTARY PU9UC JULIET LAW
EE 8469(116 Gorrunission alto_ EE 845906 ^ ARY PUBLIC
Commkssion No_ —- ATE OF FLORIDA I STATE OF FLORIDA
Comm#EBB4690B i
Expires i WM046
Fxtsed 0711512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VK,EfAMON - SI:ATURT E MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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COMPLE3 E
INIT90
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