HomeMy WebLinkAboutCHIMPS APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
J- r
L- �,. o, 41 li u P - Building Permit Application
Planning and Development Services
Building and Code RegulotlonDivision Commercial X Residential
2300 Virginia Avenue, Fort Pierce FI. 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GENERATOR INSTALLATION
PROPOSED IMPROVEMENT LOCATION:
Address: 16891 CAROLE NOON LANE FORT PIERCE, FL 34945
Property Tax ID u: 2225.211-0001-000-2
Site Plan Name:
Project Name: SAVE THE CHIMPS
DETAILED DESCRIPTION OF WORK
GENERATOR INSTALLATION
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Lot No.
Block No.
Additional work to be performed under this permit– check all that apply:
—Mechanical _ Gas Tank —Gas Piping —Shutters —Windows/Doors � Pond
_ Electric _ Plumbing _ Sprinklers 4%'Generator _ Roof _ Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
fi F1
Cost of Construction: $'r ) Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name SAVE THE CHIMPS INC
Name:GARETT GUIDROZ
Address. P.O. BOX 12220
Company: COMPLETE ELECTRIC INC
City: FORT PIERCE State:,h
Zip Code: 34979-2220 Fax: s
Phone No, 772-577-9996
Address:637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772.388-2411 --�
PhoneNo772-388-0533
E-Mail:myohannan@savethechintps.or9
Fill in fee simple Title Holder on next page ( if different
from the owner listed above)
E-Mailcregan@completeelectricino,com
State or County License EC0001911 —
If value of construction is 2500 or more, a RECORDED Notice of Commencement Is requires.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGSER/ENGINEER: ^
Name:_
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
_-
Address;
City:
Zip: Phone
_
State r
_
City: _ State: _
Zip: —Phone:
FEE SIMPLE TITLE HOLDER:
Name:
^ Not Applicable
BONDING COMPANY: _Not Applicable
Name: __—
__
Address:
Address: _
City:
COMP
City:
Zip: Phone:
eev. 57(
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 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 attorney before_cpmmencing work or recording your Notice of Commencement.
of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Halder
STATE OF Fteftfl!* Ntw YorksI STATE OF FLORIDA.w
COUNTY OF l%n q5 COUNTY OF' _
Sworn to (or affirmed) and subscribed before me of
Physical Presprice or X Online Notarization
this rs I . day of AiL v , 2020 by
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Name of person making statement.
Personally Known X OR Produced Identification
Type of Identification
Produced_.
(Signature of otary Public- State o
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Commission No.0I OF -C Gh13Sq (Seal)
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