HomeMy WebLinkAboutBuilding Permit Application I
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I ^�
Date: 11� Permit Number.
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
PERMIT APPLICATION FOR: Electrical
'I'R.0 68 `4 PI0VEM.ENf�d:CATIaN
Address:
Legal Description:
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130111-0001-00018
Property Tax ID#: � Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DET'A# CD CR#P.T.
Replace meter center with a combo pack,
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CD +tION:
�.t1ID;Ff<1t1Tftt :
Additional work toe nerformed under t •is permit—checK all inat.appy:
1114VAC GasTank Gas Piping Shutters Windows Doors
Electric El Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ .�—��•ad Utilities.�Sewer Septic Building Height:
.O.WN RRAESS EE: CONTRACTOR:
Name Wynne Building Corp. Name: James W Law
Address: 8000 S US#1 Suite 402 Company: Law's Electric, Inca
City: Port St. Lucie State: FL Address: 218 Beach Avenue'
Zip Code: 34952 Fax: City: Port St Lucie State: FL
Phone'No. 772-878-5513 Zip Code: 34952 Fax: 772-878-3347
E-Mail: Phone No. 772-971-4512 1
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
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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: %/ Not Applicable
Name: Name:
Address: Address: L
bty: State: City: State:
Zip: Phone: Zip: Phone: i
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FEE SIMPLETi'1U HOLDER: •s,G Not Applicable BONDING COMPANY: ' , Not Applicable
Name: Name.
Address.• Address:
City: City:
Zip: Phone: Zip: Phone-
I certifythat no work ar installation has commenced.prior to the issuance of a permit.
St:Lucie Count3t 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 Association rules,bylaws or ang covenants that may restrict or prohibit such
structure Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
in consideration of the granting of this requested permit;I do hereby agree that 1 will,in all respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County'Amendments. i
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 use 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 jobsite
before the first inspection.if you intend to obtain financings consult with lender or an attorney before
commen in work or recordingyour Notice of Commencement.
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Si ture of Owner/Agent/Lessee ature of Contractor/License Bolder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SAINT LLICIE COUNTY0F SAINT LUCIE_...
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The forgoing instrument was acknowledged before me The forgoing instruplentwas acknowledged before me
this a4:Aay of 20 Eby this -( „day of I 20/7.by
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JAMES W LAW JAMES W LAW
( e of person acknowledging) (N of person adkriowledging)' I
81A4 WC—LC
(Signature of Notary Public-State of Florida) ( ignature of Notary Public-State of Florida}
Personally Known ✓ OR Produced Identification Personally Known +,-- OR Produced Idernfification
Type of identification Produced Type of Identification Produced
Commission No. Commission No. /G 1` ���3 (Seal)-
ANNE SRO WALMACH
EXPIRES N#FF984663 •:r MY COMMISSION#
Revised 0711512014 (4071 39o,s, ''�61z1,2D2() `;; 9e4663
EXPIRES Apn121.2o2o
REVIEWS FRONT ZONING SUPERVISOR PIANS VEGETATION, SEA TURME MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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