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HomeMy WebLinkAboutBuilding Permit Application i ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: - Permit Number: F P 0` 1 MAY 2 3 2016 Building Permit Application Planning and Development Services P E R M ITTi RI G Building and Code Reguiation Division St. Lucie County, FL 2300 Virginia Avenue,Fort Pierre FL 34982 Phone:(772]462-1553 Fax: (772)462-1578 Commercial Residential X PERMIT APPLICATION FOR: Electrical PROPOSED INPROVEMENT LOCATION: Address: z a.� ^ Legal Description: PropertyTax ID#: 3414-501-1701-000/9 Lot No. Site Plan Name: Block No. Project Dame: Setbacks Front Back Right Side: Left Side: DETAILS© DESCRIPTION OF WORK: Replace meter center with a combo pack at each address CONSTRUCTION INFORMATION: Additional work to 5a rmed under this perms –c e all t=apply: HVAC Gas Tank ❑Gas Piping _Shutters ❑.Windows/Doors Electric 0 Plumbing E]Sprinklers F]Generator. D—Roof Total Sq.Ft of Construction: 5 Ft.of First Floor. Cost of Construction:$ / D -GQ utilities:OSewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Law Address: 5000 S US#1 Suite 402 Company: Laws Electric,Inc. Cty. Port St Lucie State•FL Address. 218 Beach Avenue Zip Code: 34952 Fax: City: Port SL Lucie State: FL Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347 E-Mail: Phone No. 772-971-4512 Fill in fee simple Title Holder on next page(if different E-Mail: lowselectricinc@aol.com from the Owner fisted above) State or County License: ER0000122 r If value of construction is$2500 or more,a RECORDED Notice of Commencement is rewired. Y*e T 1153 3 7 L'd -95ZL-L99-L99 Lti££9L9ZLLMV1 B90:60 9L £Z Aan SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER%ENGINER: :/ Not Applicable - -- M0ii3GAGE OOMPANy.. ✓ Not Applicable Name: Natne- Address: Address: State: City_ State: Zip: Phone: Zip: Phone: FEE SIMPLE TITLE HOLDER: ,V Not Applicable BONDING COMPANY Not Applicable Name: Mame- Address: Address: ZIF. Phone: Phone: I certify thaCno work orinstaliation has commenced:priortothe issuance of a permit St-Lucie_County makes no representation that is grauding a penmr�will authorize thepermit holderto bund the svbjectstnrcttsre wturh is m sQ with arry appiitable dame Owners Assocration rules,bytawrs ora oovenarrts that may restrict or prohibit such stivcwre.Please oonsvitwrth your Home Owners Asso�on and reoccur yourdeed forany resblctions wh-rch may apply, In consideration aFthe granting afthis requested permit;l do hereby agreethat 1 will,in 211 respecter perform the work in accordancewiththeapproved plans,the Florida Building Codes and St-Lucie County Amendments. Tire**owing building permit applications are exempt from undergoing a full concurrency review:room addidom accessory sMd w.Swimming pools, walls,signs,screen rooms and accessory uses-6 another non-residential use WARNING TO OWNEW Your aunetoRecord a Notice of Cortrrnencernentmay result in your payingtwrcefor improvements to your properly_A Notice of Commencement must be recorded and posted on the jobstte before the first inspection.If you intend to obtain-financing,consult wide tender or an attorney before commencing work or recording our Notice of Commencement. �Als.. tur Ow re of Co ractortUcense Holder ��rfafsrre of f3wtterl Agent)Lessee nt SSTATE OF FLOR1DFLORIDATATE OF FLOR DA SAINT waE COUNTY pF SAINT Ll)CIE COUNTY OF Tfrefia mg instru s pcknQwledged before rage Theibmaing iasrstrur�r •wad gckn"wledged before me flus ay of v 420 thisyday of ?i -bY JA MES W LAW (Name W LAW (Name of person acimnwledging) 4Name of person adarowledgmg} (S Nary Public-State of Florida) (5ignati Notary PubTrc--State of Ptorida} Personally Known V"- on Produced idenfification Personally Knowny OR Produced identification Type of Identification Produced Type of identification Producer) NOTARY PiIBUC _ *Sj:TATE JULIET LAW EE 84fi90R CmmssoNo_ EE 8"905ARYPUBLIC OFFLORIDA Op FLORIDA res i0t2811 6 Revised 07/1512014 REVIEWS FROM ZOMNG SUPERVISOR PIANS VEGETATION - SEATURTLE MMGROVE COUNTER] REVIEW RSnEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INMAIS Z'd -8526-699-699 LV008L8ZLLMV1 1380:60 96 £Z ASW