HomeMy WebLinkAboutRECTOR PERMIT APPALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/25/20 Permit Number:
Building Permit Application
Plannfng 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
PROPOSED IMPROVEMENT LOCATION: -
Address: 1003 OSCEOLA DR, FORT PIERCE, FL 34982
Property TaxID q: 3409-801-0014-000-4
Site Plan Name:
Project Name: ANDY RECTOR - 200AMP PANEL &SERVICE CHANGE
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
1200AMP PANEL &SERVICE CHANGE
CONSTRUCTION 1'NFORMATION:
HVAC LJ Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 2000.00
Lot No. 14 & 15
81ock No.
Piping u Shutters ❑Windows/Doors
nklers 1:1 Generator g Roof Roof pitch
S Ft. of First Floor: _
Utilities:�Sewer Septic
Building Height:
.OWNER/LESSEE:
CONTRACTOR: _
Name MARK A RECTOR JR
Name: GARETTGUIDROZ
Address: 1003 OSCEOLA DRIVE
Company: COMPLETE ELECTRIC, INC.
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-332-2678
Address: (D a=" 4 CU-1 dA \l d -
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail: MARKJR92@MSN.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: mcook@completeelectricinc.com
State or County License: EC0001911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW
INFORMATION:
DESIGNER/ENGINEER: _ Not
Name:
Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _ Not
Name:
Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
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 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 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
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE �OF FLORIDA
CC1UN 1 1 OF INDIAN RIVER
The forgoing instrument was acknowledged before me
THIS 25TH day pf JUNE 2G_ by
f Y1C�x 1s
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
Produced
ox
(Signature of Notary Public- State of Florida )
Commission No. ccs2sass
MACICOOK
MY COMMISSION # GG
REVIEWS FRONT
COU NTE R
Rev.
STATE OF FLORIDA
COUNTY CIF INDIAN RIVER
The
forgoing
instrument was
acknowledged
before me
this
zsTH day
of DUNE
, 20_
by
GARETT GUIUROZ
Name of person making statement
Personally Known x OR Produced Identification
Type of Identification
(Signature of Notary Public- State of Florida )
No. ccszssse
MY COMMISSION # GG
EXPIRES:Odober28.
VEGETATION rSEATURTLE�ANGf76
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