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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST-BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building Permit Application .SUN 16 20%
Planning and Development Services PERWTTING
Building and Coee Regulation Division St. Lucie COUrity, FL
2300 Virginiamenue,Fort Pierce FL34-982
Phone:(772)462-1553 Fay-(772)462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Electrical 1 LJ
PROPOSED IMPROVEMENT LOCATION:
1-7
Address-
Legal Description:
PropertvTaxlD#.,. 930 x111-0009-OtlOir� 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:
Addstrong T-workto be ne arm uncler this permit--- check all th=apply:
0HVAC Gas Tank E]Gas Piping Shutters ElWindows/Doors
l;=J Electric Plumbing OSprinklers FIGenerator ORoof
Total Sq.Ft of Construction: Sq.Ft.of First Floor:
Cost of Constructicn,$ •T��0- 00 Utifities:0—Sewer 0 Septic Building Height
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address•. s000 S US#I Suite 402 Company: Law's Electric, Inc.
City: Port St Lucie State: Fl- Address: 218 Beach Avenue
Zip code:14952 Fax: City: Port St.Lucie State: FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-87&-3347
Phone No. 772-971-4512
F-311 in fee simple Title Holder on next page#if different E-Mail: lawselecbicinc@aoI.com
from the Owner listed above) State or County License: EROCC0122
if value of construLtion is$2500 or more,a RECORDED Notice of Commencement!!;required.
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SUPPLEMENTAL CONSTRUCTION LEEN LAIN INFORMATION:D =Ap
91G111ERfENGMEER-. e� NotAPplicable MORTGAGE COMPANY': 1! Nat plicable
]]
Name: Name:
Address: Address—:
may- State:„__ Gty: State:
Zip: Phone: Trp: Phone:
. FEE SIMPLE TTf.E HOLDER; _V_Not A;aplicable BONDING COMPANY: _--Not Apprkable
Name: Name;
Address: Address
City: City_
Zip: Phone: Zip: Phone:
I certify thatno work ar installation has commenced pdorto the issuance ofs perinit
St t u Is CounLv rrcakes ria represerrtation haat is grarrting a pennitwill au orizethe perms holderto build the subjectstruawr,e
which is In confil v ith any appl[cable Home£�yners Askx ation rules,bylaws or orad covenants that may restrict or proiu"bitsuch
structure.Please consent sn h your Home Owners Association and remewyourdeed for-any restrictions which may apply_
in consFderatiew of the granting ofthis requested perm%I do hereby agreethat l wit„in all respects,perform the work
in accordance with the approved plans the Florida Building Codes and St.Lucie CoemtyArnendinerim
Thefopawing building permit appBic atiors are exempt from undergoing a full concurrency review:room additions,
accessory structures,suviarinfmg pools,fences,waits,signs,screen rooms and accessary usest6 another non-residential use
WARNING TO GWS'M,Your#WIure tb Rewrd a Notice of Cnlrntrencernent may result in your payirrgt mlice for
improvements to your property.A Notice of Commencement must be recorded and posted on the jobslte
beforethe first inspection.If you intend to obtain financing,consult with lender or an attorney before
-commencing wont or recording y2ur Notice of Commencement
Suture of Ownerl Agent)Lessee re of CorrbcactorJlicense Halder
STATE OF FLORIDA STATE OF FWMDA
COUNTY OF SAINT UICIE COUNTY OF SAINT LLICIE.
The fo ping inwas ackrrj}� ledged before me Theforeoing instru mw 3clmnwledged before me
this, 62ay of D Z°6y th�Say of -_ ¢.by
.,IBES W LAW JAMES W LAW
Do=of person acknowledging) (Name of person-acknowledging)
(Signam rsjotarV Public--State of Florida) (sign otary Public-State of Florida) -
Personally Knoum ✓ OR Prodi;ced identification Personally Known OR Produced Identification
Type of Identification Produced1121 n r r AW _, Type of Identification Producer' J LAW
IEE 8469®la NOTARY PUBLIC `
Commission No. FATE OF FLOMDA Commission No. €E 846906ARYPUBUC
EE846908 STATE OF FLORIDA
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1Zevised 4711512014 10126/2016
REVIEWS FROUIT ZONING SUPERVISOR PLANS VEGETATION - SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
©ATE '
COMPLETE
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