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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t
Date: iC Permit Number: - ----=Loq
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Building Permit Application JUL 13 201
Planning and Development Services PEP-01TTiNG
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fart Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electricai ]
PROPOSED IMPROVEMENT LOCATION:
Address-
Legal Description-
Property Tax ID#i; 1306.111-0001-0001• 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:
CONSTRUCTION INFORMATION:
A001tional work to tea p OrTned under this permit-check all=appy.
((0�HVAC iL_ti Gas Tante Gas Piping _Shutters ❑Windows/Doors
�EElectr9c -
L' Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: So.Ft.of First Floor:
Cost of Constructi c n:$ -:5'60x60 Utilities:0 Sewer 0 Septic Building Height-
OWNER/LESSEE: CONTMCCOR:
Name Wynne Building Corp. Name: James W Law
Address: 8Q00 S U5#1 Suite 402 Company: Law's Electric, Inc.
CKY= Port St,Lucie State: FL Address. 218 Beach Avenue
i Zip Code: 34952 Fax: City: Port St.Lucie State: FL
Phone No. 772-8-711-5513 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: lawseiectricinc@aol.com
from the towner listed above) State or County License: EROGOO122
if value of construction is$2500 or more,a RECORDED Notice of Commencement is nMt&ed.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMA71ON:
5E9IGNERjE11 MM V hot A—p—p cab a MORTGAGE COWAM-.
�!Not Applicable
Name: Natne:
Address- Address-
Gty: State: City. Siete:
Zip: phone: Zip: Phone:
FEE SIMPLE TITLE HOMEM ' _j/ Not Applicable BONDING COMPANY: Not Applicable
Nitme: Name:
Address: Address: }
Z Phone: Z'i�p: Phone:
1 cerftthatnowork orftoWlatlon has commenced.-priortothe issuance tifa permit
5t.Iude Cou�makey no representation t�mat es geaaibng aperzrmit will authorizetfiepersiiitholderto bund the subjectstructure
which is in ictwa^Kn ashy apAlicable Hatree a7�aeesation�es,bY�aws or covenants Shat may rast�ict ar prol�Yb�s�uh
strumae.Please eonsu&t w yosu•Home Cau�mers Assoaation an review yourdeed Tiorany resrtrictionswhich mayapply.
In consideration af3he wanting ofthis,&quested gertni�1 do herelsy agreethat I vuiq,in ail respects,perFonn tfie work
in accordancevdltlt'te ae apgmoved plans,idzeFi®ride�a�ding Codes and St.Lune County Amendments.
The following bundling permit appEcatf om am exemptirom undergoing a full concurrency review:room addi'ti'ons,
accessory strudwes,sin mrrrmg pools,felice,- wags.stns,screen rooms and accessory uses•,;&another non-residential use
WARNING TO OWNS Yourftlure to iRemrd a Notice of Com►nencerqent may result in your payingtwicefor
improvernentsto your property-A Notice of Commencement must he recorded and pasted on the jobAte
before the first inspection,if you intend to obtain financing,conceit with lender or an attorney before
commencing Mrk or recordin your Notice of CornmencemeM
*Mature of Owner'Aged/Lessee re of Contractorf License Bolder
STAB Ir ELflR1DA SAINT'DCBE STATE OF RID�i SANT Lung
-Ct3UNTlf Of=
7iielb g4IxF i istru IRS, m dged belbie me Theforaoinginstru 1tnnwledged betbre me
- ay 120 by fih of
� ES W LAW JAMES W LAW
(Name of person acitnovAnI ing) (Name ofperson acknowledong)
w
(53gn NotdsyPublfc-State of Florida} (Signatu Nobry Public-State df Florida}
pprsonegy Known OR Produced rdent9cadon Personally Known OR Produced Ideniafication
Type of Ideo0ca c)n Prodaced Type of ldendlication Produced
B46906 NOTARYPlf81.IC JULIET LAW
Corrunission No. EE � H caTE OF FLORIDA Carnmudan No- .IEE 946906�M:STATE
ARY PUBLIC
OF FLORIDA
C mni0 EE846M
EXpkw 10!28/2016
Revised 07MI20I4
REVIEWS FRONT ZONING SUPE RMSOR PLAINS VEGETATION SEATUffLE MANGROVE
cAUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
IJATE
COMPLETE
INITIALS
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