HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUSTBECCOk4PLETED FOR APPLICATION TO BE ACCEPTED
Date: 'l.lW Permit Number: o 42
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
Building Permit Applicatio JUL 10 2020
ST. Lucie County, Permitting
Commercial Residential X
PERMIT TYPE: G E N E RATO R
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Address: 5105 INDIAN BEND LANE FORT PIERCE, FL 34951
Property Tax ID #: 1312-800-0020-000-3
Site Plan Name:
Project Name: REIGEL
GENERATOR INSTALLATION
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
ectric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction: $ ) (�, acra-60
Sq. Ft. of First Floor:
Lot No.189
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE
GQNTRAGT(1t2:
Name DANIEL REIGEL
Name: GARETT GUIDROZ
Address:5105 INDIAN BEND LANE
Company: COMPLETE ELECTRIC INC
City: FORT PIERCE State: _
Zip Code: 34951 Fax:
Phone No.772 882 4061
Address.637 SEBASTIAN BLVD
City: SEBASTIAN State -FL
Zip Code: 32958 Fax: 772-388-2411
Phone No772-388-0533
E-Mail:dreigell059@comoast.net
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailcregan@ccmpleteelectricinc.com
State or County License EC0001911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 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:
FEE SIMPLE TITLEHOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
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 withyourHome 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,
accessary 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Sigma of Owner/. Lessee%�- Co�tor as Agent for Owner
Signa se er
STACOUTE OF FLORIDA
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STATE
OF GRID �� 04 V-C
NTY OF ?1 n
COUNTY �
The for Ing instrume t was acknowledged before me
The for ing instrum t was acknowledged before me
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thisyof
iJ 6r�1e�1-�-
Name of person making statem .
Name of person making statement.
'�'OR
Personally Known OR Produced Identification
Personally Known Produced Identification
Type of Identificat
Type of Identification
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Produced--
Produced
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(Signature of N t ry Public-State of Florida )
(Signature of No ary Public- SEe o F o )
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Commission No.0 \1 Vlli, I S (Seal)
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Commission No. I (Seal)
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ZONING
SUPERVISOR
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DATE
COMPLETED
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COURTNEY E BEGAN
Notary Public - State of Florida
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Notary Public . State of Florida
Commission 8 GG 031728
,iv Comm. Expires Sep 19, 202
Bonded through National Notary Assn