HomeMy WebLinkAboutBuilding Permit Application i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: ���3,
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Building Permit Application
Planning and DeveiopmentSen►ices
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Becirical I El
PROPOSED INPROVEMENT LOCATION:
Address:
Legal Description-
Property Tax ID#E• 130111-0001-000/ 7 Lot No.
Site Plan Name: Block Na.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DESCRIPTION OF WORK:
Replace meter center with a combo pack
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CONSTRUCTION INFORMATION:
ACIC[rtronaiworiCtObeinLurTonned un ert ispermit--checka appy:
,CJHVAC Gas Tank ❑Gas Piping 1:1_Shutters Q Windows/Doors
DElectric 0 Plumbing Sprinklers a Generator Roof
Total Sq_Ft of Construction: SFt.of FirstTloor:
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Cost of Construction:$ _:57�0,Oa Utilities: •^Sewer ElSeptic i Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name:- James W,Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric.Ina j
Port St Lucie FL 21$Beach Avenue
City: State: Address:
Zip Code: 34952 Fax: qty. Port St.Lucie State: FL
PhoneNo. 772-878513 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: lawselectricinc;@aol.com
from the Owner listed above) State or County License: ER0000122
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: V Not Applicable MORTGAGE COMPANY-.
i Not Applicable
Name: Name:
Address: Address:
Gty: State: city.
. ----__State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _L/ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
rty: City:
Zip: Phone: Zip: Phone:
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I certify that no work or installation has commenced.priorto the issuance of a permit
St.Lucie Counttyy makes no representation that is granting a permit will authorize the p'ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules,bylaws or==ants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
Inconsideration of the granting of this requested permit,.I do hereby agreethat I udll,l in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County 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 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 must be recorded and posted on the jobsiite
before the f'irs't inspection.if you Intend to obtain financing,consult with lender or an attorney before
commending work or recordinz vour Notice of Commencement.
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Sign re of Owner/Agent/Lessee S06ture of Contractor/License Holder
STATE OF FLORIDA - STATE OF FLORIDA
•COUNTV OF SAINT LUCIE COUNTY OF l SAINT LUCIE..
The fargoing instruF nt was acknowledged before me The forgoing Inst �was acknowledged before me
this,day of 20/Y—by this„ qday of 204&by
.,DAMES W LAW JAMES W LAW J
(Nam person acknowledging) (Na of person acknowledging)"
tom- l� h,�
(Signature of Notary Public-State of Florida) (Signature of Notary Public-Staie lof Florida)
Personally Known Y-111,
OR Produced Identification Personally Known' w/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.f� (Seal) =} My C Ml � ia°I CH 4 6-3 (Seal)
E PIRES April 21,2020 ��•
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Revised 07/15/2014 MY coMMlsslor� Fsss
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EXPIRES April 21,2420
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW j REVIEW REVIEW
DATE
COMPLETE
INITIALS
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