HomeMy WebLinkAboutBuilding Permit Application 8/07/17 09:12AM Complete Elect 7723882411 Pagel
ALLAPPLICABLE INFO MUST BE COMPLETED FOR APPUCATION TO BE ACCEPTED
Date: f3l4/2A17 Permit Numt7er:
Building Permit Application AUG p 8 2917
Planning and Development Services
Building And Code RepuWln»Dfutr;on PE f�i..+"c I�"Ti PIC
2300 Virginia Avenue,Fort Pierce FL 34992 SI. Lucie Ccunty, _!
Phone:(772)462-1.553 Fax:(772)462-15'79 Commercial Rt?51f��Et�IBI x
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PERMIT APPLICATION FOR; Electrical
Address: 6443 N US IAWY 1
Legal Description: L..W.H&BE t-AND TRACTS 10 AND 11 (2.11 AD)(Oil 3041»206)
Property Tax ID#: 1408-7014050»000-2 Lot No.
Site Plan Name: ..m......... ...,,,,,,,,,,,,,,,,,,,,,,,,,,. Block No.
TORKAMAN
• Project.Name,
Setbacks Front Back: Right Side: Left Side:
POWER OFF 0V8R A YEAR —,1:Zc-- ►
; i„-sf :
Adclitional work toe Derformed under Inis perMi –Check allappy;
[ HVAC 1:1 Gas Tank []Gas Piping Shutters ]Windows/boors
Electric LJ Plumbing ' []Sprinkiers �Generator 1.Roof Roof pitch
Total Sq. Ft of Construction: Sq, Ft.of First Floor:
Cost of Construction:$ Loll.?10,„-,,,W,.,W..--,,,,,,,, ,,,,,,,mm,_ Utilities: Sewer Septic Building Height:.
NaindGHOLAMRE7A TORKAMAN Name: OAl;t FT'w••GUlDR07
Ae dres070 5812th PLACE — - Company. COMPLETE ELECTRIC,INC
City;VERA BEACH State:FL Address: 637 SEBASTIAN BLVD
Zip Code;32962 Fax: City: SEBASTIAN State:FL
. ... �29G8 772-385-2411P
PhoneNo. _ _....__...W.,,,.._,.,_.,.,,.,,,„,,,,,,,,,,,,,,,,,,,,,,,,„„,,,,,,,,,,,,,,,,.,,,,,,,,,„......,,„„......,,,„,,,,_.... Zip Code: F'ax:
phone No.•772-388-0533
F.ili•In fee simple Title Holder on next page(if different E-Mail: mskelley(Mcompleteeleetdcinc,com
from the Owner listed above) State or County License: ECOD01911
If ualue.pf cbristraction is$2500 or more,a RECORDED Notice of Commencement is required,
8/07/17 09:12AM Complete Elect 772388241:1 Page 2
DESIGNER/ENGINEER.- —...N Applicable MORTGAGE COMPANY,. � Not Appilcable
Name: Name:
Address: Address:
City: State:. City: State:
Zip:` .. _: _ Phone: Zip: Phone-
'FEE SIMPLE TITLE HOLDER: �_ Not Applicable BONDING COMPANY; Not Applicable
Name: Name;
Address:_ Address:
Zip: Phone: Zip: _ __ Phone;
I certify that no work or installation has commenced prior to the Issuance of a permit,
5.t.�ude Cmunky,makp no repre_et�L�7tion that is granting a ermit will uthome the it holder to build the subject structure
structure. con,
consult with yoi r Home OOwnnerrs Associsati ontand rev eIw your deed or any restrictionssawhich maor
applo."ibit such
In consideration of the grunting of this requertad permit,I do hereby agree that i will,in rail resper:ta,perform the Work
in accordance with the approved plans,the Florida Building Godes and 5t.Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review:room additions,
accessory structures,swimming pcol$,fences,walls,signs,screen morns and a tcessory uses to another non,-residential use
WARNING TO OWNER,Your failure to Record a Natio of Commencement may result In your paying twice for
improvements to your prrrperty.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 recol-dingy nur Noice of Commencement.
.,�.. .
518,41 LCli `pf�QWn ontractor as Agent forMvfter 5ionature of Cantractor lconse Rolder
STATE OF FLORIDA _ STATE OF FLORIDA
COUNTY DEQ COUNTY OF .w_._... .._.._......,...,.,..,..,........
` Tne fnr oing Instr meet was a knowiedged before me
The forgoing instrument was acknowledged before me
this Y clay of�� 20 Lj by this°day of na:catiasr 20 by .
(Name nQwEedf;lit ) (Name of person acknowledging)
(Signature of Notary P lfc- ate of Florldo) ( ifdnaaturt o vary able Sta'e of Florida)
Personally Knower 0 Produced identificOlon _ Personally Known x Produced Identlficatlon
Type of Identification
Pro uced Tyne of Identification Produced---
Commission No. Commission (Seal)
r• , nota agitate of Fbdds
Navy t4tartti Hato d_._.�.
12eyisf:d Q l 15/ Maddoq Natoli 4 My Commfaalsa FF 01504
4r MY0"W*$loaF0W15" �$a @xplrragg1,�Rfftq.
...........:................................_.,,_,............. ...........M _. tl9tta et9' 04 NONAOSAVAIJ
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