HomeMy WebLinkAboutCOVEY PERMITALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/16/2019 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
PERMIT APPLICATION FOR: Electrical
Address: 3042 NW RADCLIFFE WAY, PALM CITY, FL 34990
Legal Description: RIVERBEND (PB 67-36)- LOT 12 (OR
Property Tax ID q: 4425-703-0017-000-7
Site Plan Name:
Project Name: JAMES P COVEY
Setbacks Front Back:
Right Side: Left Side:
MINI SPLIT WIRING IN CONNECTION WITH A/C PERMIT SLC 1902-0493
Pcn —
OHVAC Gas Tank Gas Piping
❑✓— Electric 0 Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 1500.00
Lot No.
Block No.
Shutters � Windows/Doors
Generator Roof Roof pitch
S Ft. of First Floor: _
Utilities: —Sewer Septic
Name DAMES P COVEY & SHARON A COVEY
Address:3042 NW RADCLIFFE WAY
City: PALM CITY State: FL
Zip Code: 34990 Fax: 772-770-6074
Phone No. 772-770-6160
E-M a i I: lim@jcoveylaw.com
Fill in
fee
simple
Title Holder on next page (if different
from
the
Owner
listed above)
Name: GARETT GUIDROZ
Building Height:
Company: COMPLETE ELECTRIC INC
Address: 637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
M E-ail: mskelley@completeelectricinc.com
State or County License: EC0001911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5UPf�1MIAIF3UilON > IEN L,Ai111 IIF
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DESIGNER/ENGINEER: 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: 637 SEBASTIAN BLVD
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count yy 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 and 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 I will, 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commenci work qr recording our Notice of Commencement.
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Sighatureof Owner/ 1.45see/Contractoi as Agent for Owner
Signature of Contractor/License Holder
STATE1OF FLORIDA f'
STATE OF FLORIDA
CQU*Y OF
COUNTY OF srLuaE
_f
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of r 20 by
this 1s day of nPRa 20a by
GARETT GUIDROZ
Name of perso"aking statement
Name of person making statement
Personally Known •. Z OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced r
Produced
1 ( "
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)
(Signature of Notar Pu -lic- a eC o i a
C
",• MELANIEB.KEINOFFER
Iglt (
eal)
4 _ Notary Public State of Florida
hM�tldo�tHaUeld
Commission No. rFsolssa Q MyYS�dFhission
rT,
FF 901564
Fxpires May 17, 201901
r Expiresa9n9/2019
, ;°, Bonded ThmTroy rain lnwtsa:a 800.385,7019
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Rev.8/2/17