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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: i 16 Permit Number:
r
' RECEIVED JUL 112016
Building permit Application
Planning and Development Services
Building and Cored Regulation Division
2300 Vrginio Avenue,Fore.Pierce FL 349a2
Phone:(772)462-1553 Fax:(772)"2-3578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSE© 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: Flight Side: Left Side:.
DETAILED DESCRIPTION OF WORD:
Replace meter center with a combo pack. _
CONSTRUCTION INFORMATION:
rtiona wor to Lie a orme Under this permit—cheErc all I alapply.
HVAC Gas Tank E]Gas Piping _Shutters ]Windows/Doors
L"IElectric Plumbing Sprinklers Generator 13E Roof
Total Sq-Ft of Construction: Sq.Ft of First Floor:
Cost of Construction:$,Q, Utilities Sewer RSeptic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S LIS#1 Suite 402 Company. Laws Electric, Inc.
City: Port St.Lucie State: FL Address.• 218 Beach Avenue
Tap Code: 34952 Fax: City: Port SL Lucie State: FL
Phone No. 772-878-5543 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4592
Fill in fee simple"rtitle Bolder on next page{if different E-Mail: lawselectricinc@aol.com
from the Owner listed above) State or County License: ER0000122
if value of canstruction is$2SW or more,a RECOPMED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUC110N LIEN LAW iNFORMA- ON:
DESIGNER/EIVGiI�EEI o �'
Not Applicable � - MORTGAGE CAMpANY'- Not Applicable
Name: Marne:
Address: Address:
City: State: City State:
Zip: Phone: Zip: Phonw-
FEE SIMPLE TITLE HOLDER: V Not Applicable BONDING COMPANY: -V—Not Applicable
Name: Name:
Address- Address:
Cly_
Zip: #�l7orte- Zap: Phone-
I certify that no work or installation has comrnenced•priorto the issuance of a permit
St.Lune CouFgtharlees rro representation tBax is g�r�ting a ermit vs►III arrthorize the dpernsit holder to build the subject structure
which 1~s In co5 �t�ppyicabte Home a�wraers Also rotes,laylaws or ar► covenants that map restrict or prohbit Bach
strre.Plesaslt w�yaur Home
Ciusrners Agsociatlon and review your deed far any restrictions vrhlclr may apply.
in consideration of'the granting ofthis requested permit,I do hereby agree that I will,in;A respects,perform the work
in accordancewith the approved plans,the Florida Building Codes and St.Lucie CountyAmendiments..
-fhefollowing building permit applications are exempt from undergoinga full concurrency reopw:room additions,
accessory structures,swimming pools,fences,walls,signs,screen room and accessory uses tri another non-residential use
WARN ff4G 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
before the first inspection,if you intend to obtain finandn&consult with lender or an attorney before
commencin work or recordin our Notice of Commencement.
Si
at
of Owners Agent]Lessee tore of Contractor/LicenseHoider
SPATE OF FLORBDA STATE OF FLORIDA
COUNTY OF SAINT LOCIE COUNTY OF SAINT I.UCIE
7he10 ung lnstrwn t acImowledged before me The fcs 2kng instru errt�nra acknowledged he%m me
this,;d ay of.- 20 y tttis�I" day 2{I� sY
_IWES W LAIN JAMES LAW
(Name of person acknowledging) (Name of person acknowledging)
(g' Notery Public--State of Florida} (Signa Notary Pu rine--State of FlorWa)
Personally Known OR Produced Idem icmdon Personally Known f✓ OR Produced Identification
Type of Identification Produced Type of identificat"son Produced
NOTARY PUBLIC JULIET LAW
Commission Na. FE 846906 Commission No. £E 846906 ^ A}TARY PUBLIC
ASE OF FLORIDA STATE OF FLORIDA
C�1EE84606
Ewres 10/26=16
Revised 07/1512014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGEMMON SEATURTLE MANGROVE
COUNTER REVD REVIEW REVIEW REVIEW REVIEW REVIEW
l7ATE
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lV1PLEi :
iTi MALS
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