HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
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ff4W RECEI D JAIN 19 2017
Building Permit Application
Planning and Development.Servfces
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
PROPOSED IMPROVEMENT LOCATION
:-
Address;----
Legal Description:
Property Tax ID#: 1301-111-0001-00015 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front_ Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK
Replace meter center with a combo pack,
[CONSTRUCTION INFORMATION, -h-
-Additionglwc)rktobeneffo--r-m-e-d under this—permit-check all t at
LJ HVAC Gas Tank ❑Gas Piping 0 Shutters Windows/Doors
LJ Electric Plumbing OSprinklers EJGenerator 01 Roof
Total Sq.Ft of Construction: SQ.Ft,of First(
irst Floor:
Cost of Construction: 42e— Utilities:USewer 11 Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Wynne Building Corp. Name:— James W Law
Address- 8000 S US-#I Suite 402 Company: Law's Electric,Inc.
City- Port St Lucie State:FL Address.. 218 Beach Avenue
Zip Code: 34952 Fax: City- Port St.Lmcle' State., FL
Phone No. 772-878-5513 Zip Code: 34952 Fax: 772-678-3347
E-Mail- Phone No.. 772-971-4512
Fill in fee simple Title Holder on next page if different E-Mail: lawselectridinc@aol.com
from the Owner listed above) State or County License: ER0000122
N 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-
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:
I 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 auTorize the permit holder to build the subject structure
Which is in conflict with any applicable Home Owners Association rules,by aws or and covenants that may restrict or prohibit such
structure.Please consult with your Home Owners Association and review your dead 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.
The following binding 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 jobsite
before the first inspection.If you intend to obtain financing,consult with lender or an attorney before
commencing work or recording ur Notice of Commencement
Sign a of Owner/Agent/Lessee sloiture of Contractorlucense Holder
STATE OF FLORIDA STATE OF FLORIDA
-COUNTVOF SAINTWCIE COUNTYOF SAINTLUCIE..
The forgoing instruy.nanr was acknowledged before me The fomoing in %A was acknowledged before me
this day of Z0ly-by this,faday of 204&by
JAMES W LAW JAMES W LAW
(Nam person acknowledging) (Na of person acknowledging)-
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(Signature of Notary Public-State of Florida) (Signature of Notary Public-State of Florida)
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identification Produced Type of Identification Produced
ANN BROWN WAWACH
Commission No.`/G 2Ee e (Sea1) •r MY C O v' F11' �% �3 (Seat)
PIKES April 21.2020ANNE BROWN WAO
A 11798.07 FIOiIC�NDTa EfhU.Oo(n
Revised 07/15/2014 •''= MY COMMISSION#FF96403
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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