HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application JUN 16 2016
Planning and Development Services PERfy7ITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-3553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical f�l
PROPOSED 1NPROOEMENT LOCATION: L[
Address: /3 91?0
Legal Description:
Property Tax ID#: 730i6111-0001-0001. i Lot No.
Site Pian Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack at each address
CONSTRUCTION INFORMATION:
AL10itional work to be nerton-ned under tis permit—checka appy:
❑HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
QElectric O Plumbing 05prinklers O Generator O Roof
Total Sq.Ft of Construction: Ft.of First Floor:
Cost of Construction:$ l/ DUO• 06 Utilities: Sewer E]Septic Building Height:
OWN ERAESS EE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 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 Fax: 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$250D or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAVA INFORMATION:
DESIGNER/ENGINEER: _Not Applicable MCrRTGAGE COMPANY: X--"Not Applicable
Dame: Name:
Address: Address:
City: State: City-, State:
9p: Phone: Zip: Phone:
FkE SIMPLE TITLE HOLIOEM Not Applicable BONDING COMPANY: r/Not Applicable
Name: Name:
Address: Address:
City. may.
Zi Ip:� Prone: Zip: Phone:
OWNER/CONTIiiACTOR AFFIDVOT:Application is hereby made to obtain a permttto do the work and installation as indicated.
I(certify that no work or installation has commenced prior to the issuance of a permit.
S Lucie Cody makes no representation that is granting a permit will authorize the permit holderto build the subject structure
+r hich is in conflict with arty applicable Home Owners Association rules,bylaws or and covenantsthat may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
16 consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review=room additions,
accessorystructures,swimming pools,fences,walls,signs,screen rooms and accessory uses to another non-residential use
WARN ING 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
§efore the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording-your Notice of Commencement
Sig re of Owner/Agent/Lessee ature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUN'IV OF � � -:-C2 COUNTY OF
I
The forgoing instrument was acknowledggd_before me Thef,o, oing instrumentwas acknowledged before me
this /4 day of :'u.It e- 2016 by this�day of
(Name of person acknowledging J (Name of person acknowledging)
i(Si re Notary Public-State of Florida J (Sli Ma3i of Notary Public-State of Florida)
Personally Known ✓OR Produced Identification Personally Known v OR Produced Identification
Type of Identification Produced Type of Identification Produced
.ter JULIET LAW LIEr LAW
Commission No. �, � NOTARY M Commission No-,�F ASG �d�
STATE OF ARY PUBLIC
STATE OF FLORIDA
Expires 1or28mirs
Revised 07/15/2034 Expires 10128=16
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
;DATE
:COMPLETED
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