HomeMy WebLinkAboutBuilding Permit Application 1
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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��((
Date: Permit Number: qYJ
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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 TYPE:GENERATOR
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Add ress;_963 TARPON FLATS DR HUTCHINSON ISLAND, FL 34949
Property Tax ID M. 1423-566-0039-000-3 Lot No.36
Site Plan Name: TARPON FLATS Block No.
Project Name: COSTANZO
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GENERATOR INSTALLATION
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Additional work to be performed under this permit—check all that apply:
—Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
I ectric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ �) O O- Q() Utilities: —Sewer _Septic Building Height:
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NameCHRISTOPHER&SIOBHAN COSTANZO Name:GARETT GUIDROZ
Address:963 TARPON FLATS DR Company:COMPLETE ELECTRIC INC
City: HUTCHINSON ISLAND Stater Address:637 SEBASTIAN BLVD
Zip Code: 34949 Fax: City: SEBASTIAN State:FL
Phone No:772-812-0813 Zip Code: 32958 Fax: 772-=388-2411
Phone No772-388-0533
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Fill in fee simple Title Holder on ext page(if different- E-Mail cre 9 @ P
from the Owner listed"above) 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 TITLE HOLDER: _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 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 JOB SITE BEFORE THE FIRSX INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
YOUR LENDER OR AN ATTORNEY BEFOM RECORDING YOUR NOTICE OF COMMENCEMENT."
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n re o Owner/ ess Con ra " s Agent for Owner ignature o ontractor/License Holder
STATE OF FLORI STATE OF FLORID
COUNTY OF r V -� COUNTY OF
The forgoing instrument was acknowledged before me The f r cling instrument was acknowledg d before me
this 21- day of FAAW 20_W by this day of 20Lay
N of person make g statement. Name of person making statement.
-_ Personally Known OR Produced Identificatiofl� Personally Known L— OR Produced Identification
Type of Identific�t n1 Type of Identification
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Produced ! Produced
(Signature of Notary Publi AM ef Will nature of Notary Public- tat
♦,YP ♦ -ENISE STOREY - ,.�`.P�'•, DENISE STO
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s N r ublic-State of Flo i� ;r N tar Public State f lorida
Commission No. ,_ qua mission No. _• q
C!d .ssion # GG 9103e3tbmmission#GG 307_
9103o-4- =+� o�Pc My Commission Expire fT.�' 10�Off- ="� �� My Commission x res
September 04 2023 '"' �"'� s tember 04; 3
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW. REVIEW
DATE
RECEIVED
DATE
COMPLETED
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