HomeMy WebLinkAboutBuilding Permit Application A APOICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: �O
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Building Permit Application MAY 16 2016
Pig ening oDevelo;irnentServices PEP1..Al'rTJf9G
8 riding
and Code Regulation Division St.Lucie County,FL
0 Virginia Avenue,Fort Pierce FL 34982
P I one:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
RMITAPPLICATION FOR: Electrical
PF OPOSED INPROVEMENT LOCATION:
Address: wacY
—
Legal Description:
P4 pertyTaxlD#: 3414-501-1701-000/9 Lot No.
S11 Plan Name: Block No.
Pr�ject Name:
j
Setbacks Front_ Back._Right Side; Left Side:
AILED DESCRIPTION OF WORK:
Replace meter center With a combo pack.
4-
CONSTRUCTION INFORMATION:
dittonal work tobe nArrOrmed unaer this permit—check all that apply:
1]HVAC []Gas Tank E]Gas Piping Shutters F-]Windows/Doors
Electric Q Plumbing FISprinklers, InGenerator ED Roof
T otat Sq-Ft of Construction: 5 Ft f First Floor.
Cast of Construction: Utilities. Sewer Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
ame �Ynne Building Corp. Name: James W Law
ddress:-..8000 S US#1 Suite 402 Company: Laws Electric, Inc.
�ity: Port St.Lucie State:FL Address: 218 Beach Avenue
I gip Code: :34952 Fax. City: Port St.Lucie State: FL
hone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No- 772-971-4512
:III in fee simple Title Holder on next page(if different E-Mail* lawselectricinc@aol.com
from the Owner listed above) State orCounty License: ER0000122
If value of construction is$2500 or more,a IRSCORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE51Gi1iERjENG1NEI:R: Not Applicable - --- MORTGAGE COMPANY'- ,/AtotApplicable
Name: Name:
Address: Address:
Oty: State- city: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE T11 HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address-
Ci y= Gty:
Zip: Phone: Tip• Phone:
I certify that no work or installation has commenced-priorto the issuance of a permit
St Lucie County makes na representation that is gsarig a permit will authorize the permit holder to bund the subjectstnictuce
wbich is con {ctwrtii cry appNiable Home Os+vners Association
strumre- rulesblad y onmswscis such
may apply.
In consideration ofthe granting offr&requested perm,%I do hereby agree that 1 will,in all respects,perform thework
in accordance with the approved plans,the Florida Building codes and St Luce County Amendments.
Thefollowing bufiding permit applications are exemptfrom undergoing a full concurrency review:room additions,
accessory structures,swimming pool%fences,walls,signs,screen rooms and accessory usestis another non-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobsite
before the*-st inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
auve, P
Sign re of Owner/Ag Lessee Wgnature of contractor/License Holder
STATE OF FLORIDA = - STATE OF FLORIDA
C IAM of SAINT UXIE COUNTY OF SAINT LUCIE
Thefol Ipg ks ��-nrknn*edged before me The f+nk�mstrymentwas adpowledged before me
Of
JAMES w LAW .LAMES W LAW
[{dame of person acknowledging] (Name of person acknowledging)'
cs Notary Public-State of Florida}
(Signature—*Notary Public-State of Florida)
Personally Known OR Produced Idenbfiration Personally Known OR Produced Identification
Type of identification Produced It I=T a AW Type of identification Produced
EE 8 6906 4 NOTARY PUBLIC - JULIET LAW
Commission No_ _ ATE OF FLORIDA Commission No. FE 946906 ARY Pijsuc
. Ctxrerifl EE816806 STATE of FLORl0A
t EMTres 10/28/2016
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA"TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
COMPLETE
f NTIiAIS - -
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