HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE.CONIPLETED FOR APPLICATION TO BE ACCEPTED
Date: /r " Permit Nurrtber
Building Permit Application
Planning and Development Services I'
Building and Code Regulation Division I
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(777)462-1553 Fax: (772)462-1578 Commercial Resideniiai x
PERMIT APPLICATION FOR: ElectricalLi
PROPOSED INPROVEMENT LOCATION:
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Address:
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Legal Description:
Property Tax ID#: 3414-501-1701-00019 I Lot No.
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Site Plan Name: Block No.
Project N,arne:
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Setbacks Front Bark:— -Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
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Replace meter center with a combo pack,
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CONSTRUCTION INFORMATION: i
Acjcjitionaiwioro (ee orme under this permit-check a appy: ;
[JHVAC ! _E Gas Tank E]Gas Piping I� Strutters, ;�lNindowsJDoors
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Electric L J Plumbing ElSpriniders Generator ❑Ri of
Total Sq.Ft of Construction: SCI.-Ft.of First Floor:
Cost of Construction:$ a, L. Utilities: Sewer l_tSept€c �ly Building Height
OWNERAESSEE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Lal r I
Address: 8080 S US## 'I Suite 402 Company: Law's Electric, Inc. �
City: Port St.Lucie State. FL Address. 218 Beach Avenue
34952 Port St.Lucie FL
Zip Code: Fax: City: State:
772-$78-5513 34952 772-878-3347
Phone No. Zip Code: Fax.
E-Mail: Phone No. 772;971-4512 1
LFfilinfee sim�pie Title Hoiden on next page{if different E-Mail: lawselectricinc@aol.com
m the owner listed above) State or County License: ER8o00122
if value of construction is$25011 or more,a RECORDED?Notice of commencement is required.;(
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERJENGINEER: V Not Applicable MORTGAGE COMPANY:!
Name: Name: -.�Not Applicable
Address: Address:
City: State: City: State:
Zip: Phone: Trp: Phone
FEE SIMPLE TITLE HOLDER: __l,/ Not Applicable BONDING COMPANY: Nat Applicable
Name: Name:
Address: Address:
—
City: City:
Zip: Phone: Zip: Phone:1I'
t certify that no work or installation has commenced priarto the issuance of a pennit.
SL hilae Counttyy makes no representation that is grarrting a permit wilt authorize the permR holder to b i!d the subject sinrcture
which is in corr#iictwrth anY applicable Home Owners Association rules,bylaws or and oovenarrts'that may restrict or pmbibit such
strucWre.Please consult with your Home OwnersAssooatian and review your deed for any restrictions;vrhichmoy apply.
In consideration ofthe granting ofthis requested permit,I do hereby agree that i will,in all respects,perform#hewark
in accordance with the approved pians,the Florida Buildmg Codes and 5t Luae Courrty,Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pools;fences,walls,signs,screen rooms and accessory usesto anothernon-residential use
WARNING TO OWNER:Your failure to Record'a Notice of Commencement may resent 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 financing,consult with lender or an attomey before
commenclu work or recording our Notice of Commencement.
Si re of Owner/Agent/Lessee Si re of Contractor/license Holder
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STATE OF FLORIDA STATE OF FLORIDA Is
COUNTY OF SAINT LUCIE COUIN'1i Y OF SA1NT L 1 CIE..
The forgoing instrument was acknowledged before me Theforgoinginst entwas,acknawiedged before me
this[ _day of��.�U. �, 20,[ by this f�day of 20,Zj. by
J�
JAMES W LAW JAMES W LAW
(Nam person acknowledging) INaof person admowledging j"
Awl- hr� d-vra,, I
[Signature of Notary Public-State of Florida) {Signature of Notary Public-State of Florida
Personally Known_�OR Produced Identification Personally Known k,"_OR Produced Identification
Type of Identification Produces! Type of Identification Produced
Commission No.�� (seal) :? YK ANN ORO ypVA1AACH i }•
��3 5 MY C M�ON[S F o- �i l03 Seal
i—M Agri!21«2020
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REVIEWS FRONT ZONING SUPERVISOR PIANS VEGEfAMON] SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW 0, REVIEW REVIEW
DATE
COMPLETE
INITIALS
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