HomeMy WebLinkAboutDan Harbaugh Permit & DiagramAIIAPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Darc. 12t23119 Permit Number:
Building Permit Application
Plonning ond Development Services
Building ond Code Regulotion Division
2300 Virqinia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1,553 Fax: (7721 462-L578 Commercial Residential
PERMIT rYPE: Electrical Residential
Address: 7603 Greenbrier CIR
Property Tax lD #: 3322-700-0120-000-4
1o1 11o. 1 15
Site Plan Name:Block No.
proiect Name: Harbaugh Residence
Es
Install new ceiling fan locations in the front bedroom, family room, and patio. A total of (3) fans.
CONSTRUCTION INFORMATION :
Additional work to be performed under this permit - check all that apply:
__Mecharrica I
_ Electric
_ Gas Tank
_ Plumbing
_ Gas Piping
_ Sprinklers
_ Shutters
_ Generator
Sq. Ft. of First Floor:
_ Windows/Doors
__ Roof -_--_ pitch
Total Sq. Ft of Construction;
cost of construction: s \ @o .-o-o ----- - Utilities: - sewer *_. Septic Building Height:
Name J Daniel Harbaugh Name: Kent Blosser
Address: 7603 Greenbrier CIR Company: Blosser Electric
1^;1,,. Port St Lucie State:Address: POBox7305
Zip Code:jf8q
-phone 116. 56 1 -777-81 66
1^;y,,. Port St. Lucie State:' L
Zip Code: 34985 Fax:
E-Ma il: n8860@aol.com phone 5e 772-337-0055
I ritt in fee simple Title Holder on next page ( if different I f -vait nrOrosurq2guil.o;-
te Owner listed above) State or Counlv License EC 13001570
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I rrorn the owner listed above) I s,r,u o; c*.,u11.; iC1300tS?0
lf value of construction is 52500 or more, a RECoRDED Notice of commencemt"t it *qrlr;d. -_- --
lf value of HVAC is $7,s00 or more, a RECORDED Notice of commencement is reouired.
PROPOSED IMPROVEMENT LOCATION :
OWNER/LESSEE:CONTRACTOR:
sU Pp re v rwfAr Co rrrsri u ci
DESIGNE
Name:
ENGINEER:_ Not Applicable MORTGAGE COMPANY:
Name:_ Not Applicable
Address:
FhnnoI rrvrt9 State:phone:
FEE SIMPLE TITLE
Name:
HOLDER:_ Not Applicable BONDING COMPANY:
Name:
Not Applicable
Address:
I tr\/.*'' r .
Address:
City:phone:
St. Lucie Countv makes n,
sNtjru;m:l:t:trtl?ii'f+:i"ia5#ffh:+fiii}:F#ifliililT;fth',sr'":fff;#]iJriilijiili;ii.'d{*;r;'x,r:r:r".n
ln consideration of the granting of this requested
in accordance with the ipproved prans, the r,",,oli'Jio'i,l-'3"X"#:Xit[li,i'|'l"Xl];Jl*Jffil".Ti;ou"o'' the work
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signature of owner/ Lessee/con@ Signatu re of Contractor/L-icense lotOer
/
Personally Known
Type of ldentificat
Prod u ced
OR Produced ldentification
STATE OF FTORIDA
courvrV oi-"'-" S'f . Lrc *
The forgoing Instrument wa.s acknowledged before methisgfuftay of zo& bv
Kq^t P:log*r
t'tur" of p"t
/
Personally Known l/ OR produced ldentificatron
Type of ldentification -
Prod uced
commission N". GGC\eilB l0 (Seal)
STATE OF FLORIDA
couNrV or - "'--'
5 {. L" c.;
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ron
REVIEWS FRONT ZONING SU PERVISOR
REVIEW
DATE
RECEIVED
DA'IE
COMPLETED
(Sign at of Notary Public- State of Florida )(Signatu re otary Public- State of Florida )
Commission r" _EG Dfl_gt0
PLANS
REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
GUY R BOUCHER
ii: MY CoMMTSSTON # GG091810 i: MY COMMTSSIOil # GGOgl8rO
7603 Greenbriar Cir.
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