HomeMy WebLinkAboutbuilding permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
O,
1 _ c' � "�`�� 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
Address: 9409 POINCIANA CT FORT PltFict, r� �aa5 i
Property Tax I D #: 1334-503-0028-000-5
Site Plan Name:
Project Name: UFNER
e'Td.�l3e7\I<i1e71�69Ie1 \Id\ � N]\
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:
Cost of Construction: $
_Gas Piping
_Sprinklers
Shutt
_
_Generator
Sq. Ft. of First Floor:
Lat No.26
Block Na.
Windows/Doors _ Pand
Roof Pitch
Utilities: Sewer _Septic Building Height:
NameDOROTHEAFUFNER
Address:9409 POINCIANA CT
City: FORT PIERCE State: fL
Zip Code: 34951 Fax:
Phone No.402-883-0492
E-Ma i I: doriufner@icloud.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name:GARETT GUIDROZ
Company:COMPLETE ELECTRIC INC
Address:637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone N0772-388-0533
E-Mai I cregan@completeelectricine,com
State or County License EC0001911
Notice of Comm
If value of construction is 2500 or more, a RECORDED encement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
Nam
Addl
City:
Zip:.
Not Ap
State:
FEE SIMPLE TITLE HOLDER: _Not Applicable
Name:
City:,
Zip:,
7i
MORTGAGE COMPANY: _ Not Applicable
Address:
City: State:
Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 attorneybefore commencin work or recordin our Notice of Commencement.
114
Signature of Owner/ Lessee Contractor as Agent for Owner Signafu`re-ufleorrtrdctor/Cicse Holder
STATE OF FLORIDA
S r (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
this\ "`day of .c , 2020 by
Name of person making statement
Personally Known OR Produced I
Type of Identific�tiop f
Produced t._.
(Signature of Not ry Public- State gf Florida )
Commission No. - G a) (Seal)
REVIEWS FRONT I ZONING
COUNTER REVIEW
Public -State
mission # HH i
STATE OF FLORIDA
Sworn or affirmed) and subscribed before me of
p
_r�hysical Presen a or _Online Notarization
thisdayof 2020 by
1 t r--CA- (j U': r)- _._
Name of person making statement.
Personally Known OR Produced Identification
Tye of Identification
Produced
i
(Signature of Not Fl y Public- State" fc�orida )
Commission No. —�'T..-�ff (Seal)
SUPERVISOR PLANS VEGE�AitiiDW.. ��° OT1E_ MANGROVE
REVIEW I REVIEW RE
Assn.