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HomeMy WebLinkAboutBuilding Permit Application Y i I ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date- >7j '�rS - �''�r /�j Permit Number. ECEIVE Building Kermit Applicatio MAY 1 g 2016 Planning acid Development Services " Building and Code Regulation Division -- -.� 2300 trrginia Avenue„Fort Pierce FL 34982 Phone:(7 2)462-1553 Fax:(772)462-1578 Commercial Iftidential X PERMIT APPLICATION FOR: Electricaf PR+�"ENIPFwVwEI.tocxhOW Address- I i Legal Description: Property Tax ID#: / /" _,rQ -- G' 1.�G9 ►- t G7 c'?— Lot No. Site Pian Name: Block No. Project Name: Setbacks j Front Back: Right Side: Left Side: J'DETAtED" --0ESCR1P110' N OF�G"R' K CtNSCTICC# ,:.t }RIk 'I C # : Additional work o 0&p_errarrnecI under this perm —c e a app : HVA1C Gas Tank as Piping _Shutters �Windows/Doors RJElectric L.._lPlumbing ElSprinklersGenerator Roof Total Sq.Ft of Construction: Sq.. Ft.of First Floor_ Cost of Construction:$ 4 Utilities: Sewer QSeptic Building Height: I OMER�LESSEf; :CONTRA, i Blame Ot-z Name: JAMES W LAW Address: f Company: LAWS ELECTRIC. INC. City State:2nX Address: 218 BEACH AVENUE Zip Code•1 / _ Fax: City: PORT SAINT LUCIE State:� Phone Nol Zip Code: 34952 Fax: 772-971-4512 E-Mail: Phone No. 772-971-4512 Fill in fee simple Title Holder on next page{if different E-Mail: lawselectricinc@aol.com from the IiOwner listed above) State or County License: ER 0000122 If value of'construction Is$2500 or more,a RECORDED Notice of Commencement is required. i I L•d -qqZL-L99-L95 Lt0C9L9ZLLMV9 E6tb:0L 91, 8b AEW i SUPPLEMENTAL CONSTRUCTiON LIEN LAW 1NFORMAMON: DESIGNERJENGINEER: ,NotApplicabli MaRTGAGECOMPANY: I/ Not Applicable Name: ( Name: Address: C Address: city: I State: tfty: state: Zip: i Phone: Zip: Phone• EEE SIMPLE TITLE HOtDM— Not Applicable BONDING COMPANY Applicable Name: Narne: Address- 1 Address: City: I I City: zip: I Phone: zip: Phone: I certify th I no work or installation has commence4•ptlorto the issuance of a permit. St.Wkae Corm�y makes no representation that is graM�ng a penva will�rrte theNa mit holder to gild the subjettsbvmre which is in conflict with ar►y applicable Home Owfiers Ass gclztion Jule. or an covenants tint may resti9ct or praiubit such structure.Please consult v to your Home Owners Assodatlon and review your deed for my restacuon s which may apply_ in consideration ofthe granting ofthts requested permit;i do hereby agree that 1 will,in 28 respects,perforin the work in accosdanl a with the approved plans,the Florida ceding Codes and St.Lude County Amendments. Thefoilowing building permit applications are exempt from undergoing a full concurrency review:room additions, acasssory structures,swimming pools,fences,wails,signs,screen rooms and accessory uses#o another non-residential use WARNING TO OWNEFh Your failure to Record a Notice of Commencement may result in your paying twice for improvements to your property.A Notice of Commencement roust be recorded and posted on the jobsite before the first inspection.If you intend to obtain financing,consult with lender or an attorney before commencing work or recording ur No ke of Commencement. iA~1 Si lure of Owner/Agentf Lessee atureofContractorflicense Bolder STATE OF 3•lORiDA STATE OF FLORIDA COUMT OF SAINT LUCIE COUNTY OF SAINT LUCIE Theib oing innswas acknowledged before me 'Thef�s-�'img instrun�! t was acknowledged rwefore me this 2©gyp tisisday pf 20.+ y JAMES W LAW JAMES W LAW (Name of person acknowledging} (Name of person acknowledging) ( Notary Public-State of Florida) (Sign otary Pcn Iic-State of Florida) PessonallIy Known ✓' OR Produced Identification Personally Known ✓ OR Produced Identification Type of Identification Produced Type of Identification Producers IME 845906 NOTARY PUBLIC JULIET LAWGomm lion wo. —- ATE OF FLORIDA Commission No. E£846908 PUBLIC comm#EE846M rWA=F FLORID► Expirm Revised 0711512414 lOV2812016 I REM EWS FRONT ZONING -SUPERVISOR PLAITS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE I (OA4PLETE i INITIAL5 I C•d -88ZL-L89-49� LVCC8L8ZLLMV1 e6b:m 9L a halm