HomeMy WebLinkAboutBuiding Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED U
Date: 5/20/2019 — Permit Number:^
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Building Permit Application i111
Planning and Development Services
Building and Code Regulation Division
2.300 Virginia Avenue, Fort Pierce Ft 34982
Phone: (772)462-1553 Fax:(772)452-1578 Commercial x Residential
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PERMIT APPLICATION FOR: Electrical
}ROSED 1NlPR0VEM W LOCATION:
Address: 3920 N HWY AIA, FT PIERCE, FL 32949
Legal Description: OCEAN PEARL CONDOMINIUM A CONDOMINIUM COMPRISING A PART OF SECTION 23 TOWNSHIP 34
RANGE 40 AS SHOWN IN DECLARATION OF CONDOMINIUM OR 1842-1609(4.66 AC)(OR 1842-1609) ll
Property Tax ID#: 1423-505-0000-000-2 Lot No. f
Site Plan Name: Block No.
Project Name: OCEAN PEARL
Setbacks Front Back: Right Side: Left Side:
;'DETAILED DESCRIPTION OF WORK:
EXTEND CONDUIT ENTERING METER CAN FED FROM FPL METER #KE83937
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CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit—check all that appy:
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HVAC Gas Tank E]Gas Piping _Shutters a Windows/Doors E'
�✓ Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
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Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: $ 775.00 Utilities: Dewer Septic Building Height:
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OWNERAESSEE: >: CONTRACTOR;
Name OCEAN PEARL CONDOMINIUM ASSOCIATION INC Name: GARETT GUIDROZ
Address: 1111 SE FEDERAL HWY Company: COMPLETE ELECTRIC INC
City: STUART State:FL Address: 637 SEBASTIAN BLVD
Zip Code: 34994 Fax: City: SEBASTIAN State:FL
Phone No.772-233-3755 !� Zip Code: 32958 Fax: 772-388-2411
E-Mail:byrd.tom@sbsglobal.net Phone No. 772-388.0533
Fill In fee simple Title Holder on next page(if different E-Mail: rnskelley@compieteelectricinc.com
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from the Owner listed above) State or• EC000191 1 County License: I
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If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone: i
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable '
Name: Name:
Address:637 SEBASTIAN BLVD Address:
City: City: I
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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 County makes no representation that is granting a permit will authorize thepermit 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 Horne 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. E
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 ¢
commencing work or recording our Notice of Commencement.
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Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
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STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF sTLUCIE COUNTY OF ST LOGE
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this 20 day of MAY ,20_ by this 20 day of MAY ,20_ by
GARETT GUIDROZ GARETT GUIDROZ
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Type of Identification
Produced Produced E
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(Signature of Nota Public FTei'i '9f ignature of Notary ublic-
j =otp*Y;P Notary Puhlic State of Florida o�%,%Y r4, Notary Public State of Florida
Commission No. FF N(StAy Hatfield ommisslon No. FF9D = ; M jSiWll faifield
!go My Commission FF 901564 � o' My Commission FF 901564
�oi°r�o expires09119r'o1- �'Fdj,�oF Expiras091191201-
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED i
Rev.8/2/17
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