HomeMy WebLinkAboutST LUCIE COUNTY PERMIT GUIST RESIDENCE20201021_12221159All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 10/21/2020 fjr��n� Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PERMIT APPLICATION FOR: Electrical
;PROPOSED IMPROVEMENT LOCATION:
Address: 6618 Nuevo Lagos
Property Tax ID #: 1306-500-0095-000-9 Lot No. 27
Site Plan Name: Block No. 40
Project Name: Guist Mini Split
DETAILED DESCRIPTION OF WORK:
Wiring electrical for mini split air conditioning unit.
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit—check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $ 650.00
_ Generator
Sq. Ft. of First Floor:
Windows/Doors _ Pond
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJames & Debra Guist
Name: Michael Pride
Address: 6618 Nuevo Lagos
Company. -Pride Electrical Services of FI Inc
Address: 843 S. Kings Highway
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.
City: Fort Pierce State: FL
Zip Code: 34945 Fax: 772-461-2778
Phone No 772-461-2777
E -Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E -Mail mike@pride-electrical.com
State or County License EC1300-5859
H 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:
DESIGNER/ENGINEER: X Not Applicable
Name:
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
STATE OF FLORI*
City: State:
Zip: Phone
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: X Not Applicable
Name:
BONDING COMPANY:
Name:
X Not Applicable
Address:
Address:
sical Presg�cg or _ Online Notarization
City:
City:
this dlay of UCAS 2020 by
Zip: Phone:
Zip: Phone:
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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 'n the public records of St.
Lucie County and pos on the jobsite before the first inspection. If you inte to obtain financing, consult
with lender or an orne before commencine work or recordine your Notice of Gommencement.
Rev.S/b/2U
Sig ure of c6rit-ractdaelcense Holder
ature o Owner Le , ee/Contractor as Agent for Owner
STATE OF FLORI*
STATE OF FLORIA
COUNTY OF 1, uu L
COUNTY OF Lade,
Swor to (or affirmed) and subscribed before me of
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Sworr to (or affirmed) and subscribed before me of
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sical Presg�cg or _ Online Notarization
P sical Prese cep Ir Online Notarization
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this dlay of UCAS 2020 by
this day/of 2020 by
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Name of person making statement. 2 o
Name of person making statement.
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Personally Known JL OR Produced Identificati m m
Type of Identification 0. LL c3
Personally Known OR Produced Identificatio
Type of Identification
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(Sign ture of NotaryPublic- State of Florida )
(Signatu'rof Notary Public- State of Florida )
Commission No.C'(v" A_? 05'-' (Seal) ?
Commission No. GCJ A,-7 (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.S/b/2U