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HomeMy WebLinkAboutBuilding Permit Application .i ALL AP'PLICARI E INFO,MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED j! hate: 1 1 /�r l Permit Number'i h , Building Permit Application C Planning and Development Services ! Building and Cade Regulation Division 2300 Virginia Avenue,Fort Pierce FL 34582 Phone-(772{462-1553 Fax:(772)4621578. Commercial ReSNClenfial X PERMIT APPLICATION FOR: Electrical �- PROPOSED INPROVEI7+lIENT LOCATION: Address: Legal Description: i Property Tax I D#: 3414-501-1701-00019 Lot No. Site Plan Name: !! Block No. Project Name. f Setbacks Front Back: Riaht Side: Left Side: C DETAILED DESCRIPTION OF WORK: Replace meter center with a combo pack- d CONSTRUCTION INFORMATION: �. rtiona war to e e rrne under this permit—check a appy: HVAC []Gas Tank ❑Gas Piping _Shutters Windows/Doors L'=I Electric F Plumbing Sprinklers Generator, LIJ Roof Total Sq.Ft of Construction: Sq.Ft.of First Floor: Cost of Construction:$ T� Lat� Utilities:OSewer Eheptic I Building Height: ! I OWNER/LESSEE: CONTRACTOR: Name Wynne Building Corp. Name: James W Lawl Address: 8000 S US#1 Suite 402 Company: Law's Electric,'Inc. City: Port St.Lucie State: FL Address: 298 Beach Avenue Zip Code: 34952 Fax- City: Port St LucledState: FL Phone No. 772-878-5513 Zip Code. 34952 i, Fax: 772-878-3347 E-Mail: Phone No. 772-971-4512j . ' Fill in fee simple Title Holder on next page{if different E-Mail: lawselectricin4aol.com from the owner listed above,{ State or County License: ER00©0122 i if value of construction is$2500 or more,a RECORDED Notice of Commencement is required. i t'd Ltr££,8L9ZLLMd-I eZb:60 91, t 1, AoN SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: ,/ Not Applicable MORTGAGE COMPANY.' _ Not Applicable Name, Name: Address: Address: ! L City: State- City: State: Zip: Phone: Zip: Phone. FEE SIMPLE TITLE HOLDER: , / Not Applicable: BONDING COMPANY: ! Not Applicable Name: Name: Address: Address: City: City: Zip: Phone: Zip: Phone:''' 1 certify that no waric or installation has commenced.priorto the Issuance of a permit St Lucie County makes no representation that is granting a Permit will authorize the permit holder to build the subject structure which is in conflict with any applicable Home Owners Assocrabon rules,bylaws or ano covenants that may restrict or prohibit such structure.Please consult with your Home Owners Assodation and review your deed for any restnctions,which may apply. In consideration ofthe granting of this requested permit,I do hereby agree that I will,in all respells,perform the work in accordance with the approved plans,the Florida Building Codes and SL Lucie County,Amendirients. 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 uses to another non-residential use WARNING 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 trust be recorded!and posted on the jobsite before the first inspection.if you intend to obtain financing,consult with lender'or an attorney before commencing work or recording our Notice of Commencement. 5 ure of Owner/Agent/Lessee rgnature of Contractor/Ucense Holder STATE OF FLORIDA STATE OF FLORIDA "COUNTIFOF SAINT LUCIE COUNTYOF SAINTLUCIE• . - I Thefargoing instrum twas adlmowledged before me The forgoing instrument was;ackno ledged before me this 2-1L day of 20 A by this ii day of 11' .20 by JAMES W LAW JAMES W ,LAW {N e f person acknowledging) (Name f erson acknowledging) (Signature of Notary Public State of Florida) (Signatureof Notary Public-, tate of Florida) Personally Known ✓OR Produced Identification Personally Knowny OR Produced Identfication Type of Identification Produced' Type of identification Produced Comnussion No. 9 _ G Commission No.__ (Seal)• 44 AN BROWN w MACH ;+'"'��� IAPINE BROWN WAi MA i' M T 1jL1MMJ8rZJ0N#FF984BS3 MY COMMISSION#FPSM63 Revised 07115/2014 I:x>sl�es April 21,2020 :? EXPIRES April 21,2020 r4or frori�rloh 3580163 Am 401398.0753 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW ,� REVIEW REVIEW DACE COMPLETE INITIALS E'd LV1;£8L8ZLLMb� e7,i:60 96 -V� AON