HomeMy WebLinkAboutBuilding Permit Application ALL APPLICARLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:_ � ��g!�5, Permit Number: KD05O - 00Z
Building Permit Application
Planning and Development Services
Building and Code Regulaiian Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:{772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED INPROVEMENT LOCATION:
Address:-- //av �� 8�-r✓�
Legal Description:
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i Property Tax ID#: 3414-501-1701-000/9 I' Lot No.
Site Plan Name: I Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address j
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CONSTRUCTION 1NFORMAMON:
A001tionaiworktopenertormed under ITFIN perm —cneck a appy: I.
I]HVAC U Gas Tank E]Gas Piping _Shutters ''I Windows/Doors
1=1 Electric Plumbing Sprinklers Generator L_!Roof
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Total Sq.Ft of Construction: S Ft.of First Floor:
Cast of Construction:$ f 004? .c7� Utilities:Sewer Septic Building Height:
OWNERf LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address- 8000 S US#1 Suite 402 Company: Laws Electric,jinc.
city. Port St. Lucie State:FL Address: 218 Beach Avenue
Zip Code: 34952 Fax- City: Port SL Lucie I' State: PL
Phone No. 772-878-5513 Trp Code: 34952 I Fax: 772-878-3$47
E-Mail: Phone No. 772-971-45121'
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
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if value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUC.nON LIEN LAUD INFORMATION:
DESIGNER%ENGINEER: ;! Not Applicable MORTGAGE COMPANY. I V Not Applicable
Name: Name-
Address: Address:
MY: State: Mr. i Stmte:
Zip: Phone: Zap-- Phone:
FEE SIMPLETITLE HOLDER; L Not Appricable BONDING COMPANY -%t/—Not Applicable
Name: Marne:
Address: Address: ('
City: City» I..
ZIP: Phone- Zip: Phone- i
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I certify that no work or instalfation has commenced-priorto the issuance of a permit`
St Luse CauntS+makes nopresentation•brat is gram3nga p�itwifi authorize the permit holdert3o bur-td the s�b}ect str�xcivre
eNttich is In rct with a�rhppf-`cable Home Owners Assoaation safes,layIaws or and c,�►enanu that may resorict or prohlb3t sash
strvttur�e.Please consult with your Home Crwrters AssocsaUon and revieuuyour8eedfo`any restridians which ctzaY apply.
in considers#ion of the graczSng afthis requested pprmi�!do hereby agreetbat!um�i,in a!!�Ae�,l,perfornr the work
in accordance w'hh the approved plans,tfre Florida Bcsilding Codes and St.Luse County Amendmenlrs.
The follouring building Pem3it applications are exempt'fr+Om undergoing a full concurrency review.room additions,
accessory structrues,swumning pools,fences,walls,signs,screen rooms and accessory usestio another non-residential use
WARNING TO DWNER:You rfmilureft Record a Rice of Commencement mW result in your payingttWc a for
improvements to your property.A Notice of Commencement most be recorded and posted on the jobsite
before the first inspection.If you intend to obtain financing,consult ikith lender oc.an attorney before
commencing work or recordina vour Notice of Commencement
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Sr re ofOwnwl/AgwW Lame Signature of Contractor/!?cense Holder
STATE of=FLowbA - STATE OF FLORIDA
COUN"OF SAINT LL#CIE COUNTY OF SAll1ET f_IJCIE.
Theforgoing hWuyn was ail- ,ivIedged b;,,��re me Thefar dInginsbtzv %mas do edged before me
,e OY �Y of
IA 4ES W LAMP JAMES W LAW
(Nameofpai nacknowledging} (Ram ofperson acknowledging)
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p Notary Pubfit--state c f Fforida} {Srgnaturre ataxy►Peibtic-State of Florida}
Personally Known V OR Produced Identification Personally Known V' OR Produced Identrficadon
Tyrpe of identification Produced11111=1 I-AW
Type of tdentifrcation Produced AJ�STATE
ULIET LAW
ISE 8459061 NOTARYPUBLIC Commission No. EE 845906ARYPUBLIC
Commission No. - ATE OF FLORIDA
OF FLORIDA
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B,edsed 07/1512014
RI_VfEWS FRONT ZONING SUPERVISOR PLANS vEGETAno SEA TURTLE MANGROVE
cuUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
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