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HomeMy WebLinkAboutPermit AppE DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: Applicable _Not 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 prior to the issuance of a permit. St. Lucie County 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 bylaws rules, 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 commencing work or recox40p your No ' of Commencement. s _ Si ature of Owner/ Lessee/Agent ature of Contractor/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF a _n' L COUNTY OF St Lucie The forgoing instrument w s acknowledged before me The forgoing instrument was acknowledged before me this 70 day of 20 Aby thi j day of 20 A by George G Sanchez Jr (Name of pe cknowledgi ) (Name /peack ed ' reN Public- State of Florida) (Sig re of No ry Public- State of Florida ) ;of Personally nown OR Produced Identification Personally Known x OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. C-11 0=7 (Seal) Commission No. GG040527 (WWMMISSION # GG04 ;.� • .:' ., CHAD SMITH EXPIRES October 19, 2 •= MY COMMISSION Revised 07/15/2014 ,wove,_ EXPIRES October 19, 2020 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS 27 ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 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 Address: 7301 COQUINA AVE, Fort Pierce FL 34951 Legal Description: LAKEWOOD PARK -UNIT 7- BLK 73 LOT16 (MAP 13/02N) (OR 4248-1839) Property Tax ID #: 1301-607-0093-100-9 Site Plan Name: LAKEWOOD PARK Project Name: Wayne Sweet Setbacks Front Back: Lot No. 16 Block No. 73 Right Side: Left Side: Install 30 amp inlet for portable generator, Install UL Listed interlock kit iaitional worK to oe errormea unaer tnls permit— cl OHVAC Gas Tank Gas Piping ZElectric 0 Plumbing Sprinklers Total Sq. Ft of Construction: 1,384 Cost of Construction: $ 1659.91 Name Wayne Sweet Address: 7301 COQUINA AVE a L 1 Shutters Q Windows/Doors 11 Generator 11 Roof S Ft. of First Floor: _ Utilities: Sewer ElSeptic City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. E-Mail: Fill in fee simple Title Holder on next page (if different from the Owner listed above) Name: George G Sanchez Jr Building Height: Company: Excel Electric LLC Address: 3191 SW Bellevue Ave City: Port St Lucie State: FL Zip Code: 34953 Fax: Phone No. 561-408-0722 Qualifier 561-513-1477 E-Mail: george@excelelectdcsouthflorida.com State or County License: EC13006483 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.