HomeMy WebLinkAboutBuilding Permit Application i
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ALL APPLICABLE INFO MIST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���. %/ , .o2r>�,f Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax: (772)462-1578 Commercial Residential X
ERMITAPPLICATION FOR: Electrical
ROPOSED IMPROVEMENT LOCATION:
ddress:
egal Description:
roperty Tax ID#s: 3414-S01-1701-000/9 Lot No.
ite Plan Name: Block No.
Project Name-
Setbacks Front Back: Right Side: Left Side:
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ETAILED DESCRIPTION OF WORK.
Replace meter center with a combo pack at each address
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ONSTRUCTION INFORMATION:
Additional work toe performed under tis permit—c ec a appy:
HVAC E3 Gas Tank E]Gas Piping _Shutters Q Windows/Doors
L'J Electric Plumbing FISprinkiers Generator) Roof
otal Sq.Ft of Construction: S .Ft.of First Flogr:
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Cost of Construction:$ OD. r9� Utilities: Sewer Septic Building Height:
WNER/LESSEE: CONTRACTOR:
ame Wynne Building Corp. Name: James W Law
dress: 8000 S US##1 Suite 402 Company: Law's Electric,;Inc.
ity. Port St Lucie State: FL Address: 218 Beach Avenue
Zip Code: 34952 Fax: City: Port St Lucie! State: FL
hone No. 772-878-5593 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512
Fill in fee simple1itle Holder on next page(if different E-Mail: lawselectricihc@aol.com
rom the Owner listed above) State or County License: i ER0000122
If J
value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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�UPPLEIVIENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY:; Not Applicable
Name• Name:
Address: Address:
CW. State: City: State:
Zp: Phone: Zip: i Phone:
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�EE SIMPLE TITLE HOLDER: t/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
>;lddress: Address.
City: sty:
Zip: Phone: Zip: Phone:
t certify that no work 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 holderto build the subject structure
I thirh is in conflict with any applicable Home Owners Association rules,bylaws or and covenards that may restrict or prohibit such
ctvre.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
11 consideration of the granting of this requested permit,I do hereby agree that I will,in all respects,perform the work
i i accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
Fhe follovAng building permit applications are exempt from undergoing a full concurrency review:room additions,
lac-cessory structures,swimming pools,fences,walls,signs,screen rooms and accessory uses to er;anothnon-residential use
WARNING TO OWNER:Your failure to Record a Notice of Commencement`may result in your paying twice for
'mprovements to your property.A Notice of Commencement must be rbcorde6and posted on the jobsite
Before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commenc work or recording our Notice of Commencement
ign re of Owner/Agent/Lessee Sloiture of Contractor/License Halder
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ATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LUCIE COUNTY OF i SAINT LUCIE.-.
The forgoing instrument was acknowledged before me' The forgoing inst was acknowledged before me
this4? day of � o r.. . 20[�by this day of 20 by
by
JAMES W LAW JAMES W LAW
(Nam person acknowledging) (N of person acknowledging)'i
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rtC_
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(Signature of Notary Public State of Florida (signature of Notary Public;State'of Florida)
Personally Known Y OR Produced Identification' Personally KnownV- OR Produced Identification
Type of Identification Produced Type of Identification Predpced
. �/ ANN RO�nn�p
Commission No �Ee3_ (Seal) 'R MY C 1�, $FF� {EXPIRES Ap6121,20201 ,•.
1 Ir ,,153 FlariCaHoL �rviC�coin V
Revised 07/15/2014 ! " My COMMISSION#FFSN663
'� a EXPIRES A0121,2020
oe Dorn
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS j
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