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HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /- Date:.--= Permit Number: & 0 f , a RECEWF Building Permit Application JUL 15 2016 Planning or id Develboment Services Building an�I Code Regulodon Dhrision 2300 Virginia Avenue,Fort Pierce FL 34982 Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential x PERMIT APPLICATION FOR: Electrical PROPOSED INPROVEMENT LOCA71 ION: Address: l� r Legal Descrlption: Property TE x ID#: X424501'1701-000jg Lot Na. Site,Plan Name: Block No. Project Na e• Setbacks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack, I CONSTRUCTION INFORMATION: Addrtrona wo to MGasTank rme un ert is permit—c ec a apP y: EIHVAC Gas Piping _Shutters QWindows/Doors Electric Plumbing Sprinklers Generator Roof Tonal Sq.Ft of Construction: S .Ft of First Floor: Cost of Col struction•$u .�i'�s�U ��? Utilities. —Septic Building Height: r r OWNERYLESSEE: CONTRACTOR: Mame lWynne Building Corp. Name: .lames W Law. Address• 8000 S US#1 Suite 402 Company: Law's Electric, Inc City. l Port St. Lucie State:F- Address: 218 Beach Avenue Zip Coder 34952 Fax: City: Port St.Lucie State: FL Phone No. 772-878-5513 2p Code: 34952 Fax: 772-878-3347 E-Mail: I Phone No. 772-971-4512 Fill in fee simpleTit€e Holder on next page(if different E-Mail: lawselectricinc@aol corn from the Owner listed above) State or County license: ER0000122 it value of construction is$2500 or more,a RECORDED Notice of Commencement Is required. £d -892 6-699-699 Lb££9L9ZLLMVeZ0:6 6 9l, 9l, Inp i SUPPI_ET�ENTALCONSTRUCTION IJEN LAW INFORMATION: DE9IGNER�ENG1NEE R: V NctAis{ cabte - -- MORTGAGE COMPANY: Not Applicable Name: Name- Address: Address: City. state, City: State: Zip: Phone: Zip: Phone: i FEE SIMPik TITLE i iOI.DER: _L/ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address City: City: Zip: Phone. Zip: Phone: I certify tha j no work or installation has commenced priorto the issuance of a perms. St.Lucie County makes no representation that is granting a ppermit will authorize the permit holder to build the subject ��� which is in cpMiict with any applicable dome c wners Associatlon rules,bylaws or and covenants that may restrict or structure.Please consult with your Hoare Owners Association and revlbw your deed for any restrictions which may apply. In comideratian ofthe granting ofthis requested permit l do hereby agree that I wig in all respects,perform the work in accordance v tip the approved plans,tate Florida Building Codes and St.Lucie County Amendments. The followmg buildir4 pem*applications are exempt from undergoing a full concurrency review:room additions, accessary sV1uctures,swimming pools,fences,ovalis,signs,screen rooms and accessory uses to another non-residential use WARNING TO OWNER:Yourfailureto Record a Notice of Comrnencernent rrray resrdt in your paying twice for improveriients to vour property.A Notice of Commencement must be recorded and posted on the jobsite before th§first inspection.if you intend to obtain financing,consult m6th lender or an attorney before comment+-na work or recor ding your Notice of Commencement. Si tune Owner/Agent/Lessee ature of ContractorlUcense Holder STATE OF li LAIUVA STATE OF FLORIDA COUNTY OF SAINT LJjC9E CIOUNTY OF SAINT LUCIE. The +Ing insttvzn nt acknowledged before me Tirefnmminginstru entwa acknowledged hefore me this By of ^20 y this ',day of -1ES w LAW JAMES w taw (Name of person acknowledging) (Name of person acknowledging) (� Notary Pufblic-State of Florida) (Sign a otaryPublic-State of Florida) Personally Known OR Produced IdeniiEcadon Personally Known V"' OR Produced Iden0 r aff Type of Ic�entiFcaEion Produced Type of identification Produced NOTARY PUBLIC JULIET LAW EE 83469Dfi s" Commission No. -EE 846906 ARY PUBLIC Cornrrdssion i — ASE OF FLORiQA STATE OF FLflRiDA Ca^�vmll EE6�6.906COMM s Ionerzois Revised 47/1512014 I REVIEWS FRONT Z011aING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ©ATE COMPI EM INITIALS I til d -89Z 6-699-699 Lt,££9L9ZLLMV1 eZO:6 L 96 96 Inr