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HomeMy WebLinkAboutBuilding Permit Application ALLAPPLIcARI.E INFO MUST BE COMPLETED D ,OMPLETED FOR APPLICATION TO BE ACCEPTE Date: O/l p'� xc1�� Permit Number: I t too S o Building Permit Application MAY 2 3 2016 Planning and DevelopmentServices Building and Code Regulation Division PER!4ITT I N C 2300 Virginia Avenue,Fort Pierce Ft 34982 St. Lucie County, FL Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical PROPOSED INPROVEMENT LOCATION: Address: Legal Description: Property Tax ID#: 3414.501-1701-000/9 Lot No. Site Plan Name: Block No. Project Name: Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack CONSTRUCTION INFORMATION: Additionalworktopenerrormedunclertnis permit—check all Jh appy: ❑HVAC Gas Tank ❑Gas Piping _Shutters 1___I Windows/Doors Electric El Plumbing �5prinklers Generator Roof Total Sq.Ft of Construction: S Ft.of First Floor. Cost of Construction:$ TSOU'r�y Utilities: aSeptic Building Height. OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Law Address: 8000 S US#7 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 State: FL Phone No. 772-878-5513 Zip Code: 34952 pax: 772-878-3347 E-Mail: Phone No. 772-971'4512 FII 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 If value of construction is$2500 or more,a,RECORDED Notice of Commencement is required. £'d -8526-699-699 LtiE£9L8ZLLMV1 B60:60 96 £Z 48N SUPPLEMENTAL CONSTRUCI7ION LIEN LAW INFORMATION: DEStGItIERJf9<tGililEl3t: y'' Not Appiicab a MORTGAGE COMPANY: V Not Applicable Name- Narne: Address: Address• City. State: OW-1 State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: ,V Not Applicable BONDING COMPANY: -5,,, Not Applicable Name: game: Address: Address:- W- Zip: Phone: � Phone: I certify that no work or installation has commenced-priorto the Issuance ofa permit St Lucie CaawWisIn suesuject strerrturQ et with atmy applicable Home Crwners Assoaation rotes,bylaws or anal covenants ttsat may restrict ar rotWort suchstructure.Psult wstfr your Ho;na Owners Association and revlewyraur deed far any restrictions which may apply_ in consideration of the granting of this requested permk I do hereby agreethat 1 vAl,in al!respects,per€orm the work in accordancewith tate approved plats the Florida Build'mg Codesand St.Lucie County Rtnendment& The following bugding permit applications are exempt from undergoing a full concurrency revlpw:room additions, accessory structures,swimming pooL%fences,wafts,signsr screen rooms and accessory usmiso another non-residential use WARNING TO OWNER:Yourfaiitise'to Record a Notice of Commencement may result In ymm payingtwice for rmpra�ements 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 lender or an attorney before commendnR work or recording oto Notice of Commencement. 100 sinattim of Owner/AgenV Lessee gnatwe of CentractorAkanse Holder STATE OF FLORIDA STATE OF FLORIDA C0131VtT1i'OF SAINT LUCIE COUNTY OE SAINT LUCIE The forgofng instru t was al*n xled ed b re me The fore4 instru nt aeras acknowledged before me - °f.�---� 2g0 'thx� y of,� .MONIES W LAW .TAMES W LAIN (Name of person admowletUng) (Name of person acknowledging) {'S r f Notary Pubi"io-State of Florida} gnature PubCrr State of Florida) Pgrsonally Known OR Produced Iden McAon Personally Known V"' OR Produced identificadon Type of Identificadon Produced Type of Iden icaUbp Produced NOTARY PUBLIC JULIET LAW Commission NO. EE 846906 ATE OF F1 ORIDA STATE oP FLCommission No. EE 846906 AIiO-FL tC ORI . caarsn#EEt1+46806 mom C}J4 04%-100 EYOws ionerlais Revised 0711512014 REVIEWS FROM" ZONING SLIPERVISOR PIANS VEGETATION • SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW P"IEW REVIEW ©ATE COMPl.M 114MAIS 17•d -8926-699-!95 LttrE£8L8ZLLMV1 860:60 91. 8Z AeW