HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ! 6 ) I ; l7 Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GENERATOR
Address: 152 CALLE DE LAGOS FORT PIERCE, FL 34951
PropertyTax ID#: 1301-111-0001-000-5
Site Plan Name:
Project Name: WENDY BROWN
GENERATORINSTALLATION
New Electrical Meter Second Electrical
Additional work to be performed under this permit— check all that apply:
Mechanical
_Electric
_Gas Tank
_Plumbing
Total Sq. Ft of Construction:
_Gas Piping
_Sprinklers
Cast of Construction:
Lot No.
Block No.
_Shutters
_Windows/Doors _Pond
enerator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Name WENDY BROWN & LINDSEY TWOHIG
Name:GARETT GUIDROZ
Address:152 CALLE DE LAGOS
Company: COMPLETE ELECTRIC INC
_
City: FORT PIERCE State: IrL
Address:637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 34951 Fax:
Phone No.518-755-7377
Zip Code: 32958 Fax: 772-388-2411
Phone N0772-388-0533
E-Mail:
Fill in fee simple Title Holder on next page ( if different
E-Mailcregan@completeelectricinc.com
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 HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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 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 commencing work or recording our Notice of Commencement.
Sig�f er/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORID J
COUNTY OF _ �� ^. -= r
COUNTY OF xxd e
Sworn tolor affirmed) and subscribed before me of
Sworn „ e-fdFr affirmed) and subscribed before me of
hysical Presence or Online Notarization
Physical Presence or Online Notarization
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this day of z'd -`t G . 2020 by
this S''day of %}l : �-�-;d" , 2020 by
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Name of person making statement.
Name of person making/statement.
Personally Known OR Produced Identificatiok"
Personally Known OR Produced Identification
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Type of Identification
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