HomeMy WebLinkAboutMARSHALL PERMIT APPAll 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 Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GENERATOR
Address: 13415 NW WAX MYRTLE TRAIL PALM CITY, FL 34990
Property Tax I D #: 4436-601-0008-000-2
Site Plan Name:
Project Name: PETER ,MARSHALL
GENERATOR INSTALLATION
New Electrical Meter Second Electrical
Residential X
Lot No.B
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
16�_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities; _Sewer _Septic Building Height:
Name PETER MARSHALL (TR)
Address:13415 NW WAX MYRTLE TRAIL
City: PALM CITY State: Ft,
Name: GARETT GUIDROZ
r,,,,,,,�,,,,•COMPLETE ELECTRIC INC
SEBASTIAN BLVD
Zip Code: 34990 Fax: City: SEBASTIAN
Phone No. 'I j - 9 .� Zip Cade: 32958
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
se
Pond
Pitch
State: FL
Fax:772-388-2411
'com
E-Ma iI cregan@completeelectricinc
Sta
Phone N0772-388-
te or County License EC0001 911
ment
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice
is required.
SUPPLEMENTAL CONSTRUCTION
LIEN LAW]
N FORMATI011
DESIGNER/ENGINEER: ^ Not
Name:
Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City: State; _.
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: 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 worl<and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit.
5t. 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 Horne Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with yom 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev before commencing work or recording; your Notice of Commencement.
of Owner/ Lessee/Contrac%r as Agent for Owner Signakul:e.91..CRnUaetSr/Cleanse Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �Qd•�� COUNTY OF � i�rf t rc..n #�yVE-t'
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
�, Physical Presence or Online Notarization ✓,.Physical Presence or Online Notarization
this 2- day of ) %AA SA 2020 by this day of - _, 2020 by
Yzleg i�IS dC�1iA >Ctn L i T . t€{(3
Name of person making statement. Name of person making statement.
Personally Known _) OR Produced Identification Personally Known iol' OR Produced Identification
Type of Identification Type of Identification
Prod uc d _ Produced
C°Lj' flu z> �t47
(Sign Notary Public- State of Florida) (Signa/ti g'`�Sr
Commission No. Commis tyyJ <' SIONS
¢yr m � Notary PUGic State m Fbdd� '-:?• _.. IXPIRES: Jlne
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