HomeMy WebLinkAboutJ&E PERMIT APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/2/20
Permit Number:
Agriculture Exempt 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 X Residential
PERMITTYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 6320 KOBLEGARD RD, FORT PIERCE, FL 34951
Property Tax ID #: 1304-311-0005-000-6
Project Name: J 8, E GROVES
DETAILED DESCRIPTION OF WORK:
NEW 200AMP METER MAIN, 50AMP GENERATOR INLET, SURGE PROTECTOR
CONSTRUCTION INFORMATION:
Utilities: _Sewer _Septic Sq. Ft. of First Floor:
Cost of Construction: $ 2,195.00 Total Sq. Ft of Construction:
Lot No.
FLOODPLAIN DEVELOPMENT PERMIT for structures exempt from Building Code that are in the
floodplain:
Nonresidential Farm Building:_ Temp. Bldg./Shed used exclusively for construction
Mobile/Modular for temp. construction office: Bldg. involved in distrib. of electricityd _
Other: Flood Zone:_ BFE:_ Floodway? Y/N If Y,
No Rise Certificate with supporting data attached? Y/N
All other applicable state and federal permits shall be obtained prior to commencement of
construction.
O W N ERAESSE E:
CONTRACTOR:
Name J & E GROVES, LLC
Name: GARETT GUIDROZ
Address: PO BOX 670
Company: COMPLETE ELECTRIC, INC.
City: FORT PIERCE State: _
Address: 637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 34954 Fax: 772-365-3777
Phone No. 772-231-7777
Zip Code: 32958 Fax: 772-388-2411
Phone No 772-388-0533
E -Mail: MARY@VEROCOMMERCIALMANAGEMENT.COM
E -Mail MCOOK@COMPLETEELECTRICINC.COM
Fill in fee simple Title Holder on next page ( if different
State or County License EC0001911
from the Owner listed above)
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
Signature of Contractor/License Holder
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
The forgoing instrument was acknowledged before me
Address:
this 2ND day of OCTOBER 20_ by
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
Produced
Address:
'
City:
LcJ% ,
(Signaure of Notary Public- State of Florida )
City:
ission No.GG92se9a Y'>,'�re�,�5eal) MACI COOK
Zip: Phone:
,: ;;, MY COMMISSION#GG
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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as or Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF INDIAN RIVER
COUNTY OF INDIAN RIVER
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 2ND day of OCTOBER 20 by
this 2ND day of OCTOBER 20_ by
GARETT GUIDROZ
GARETT GUIDROZ
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced.
Produced
'
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(Signature of Notary Public- State of Florida)
LcJ% ,
(Signaure of Notary Public- State of Florida )
Commission No. GG926898
ission No.GG92se9a Y'>,'�re�,�5eal) MACI COOK
MACICOOK
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ev. 7/772019