HomeMy WebLinkAboutHARPER APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
[L UIC E R
1a7 Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, FortPierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
rPERMITAPPLICATION FOR GENERATOR
CMIE�ClUEII'ENTLC1XT1att
Address: 3604 GROVE CT FORT PIERCE, FL 34951
Property Tax ID #: 1327-805-0009-000-1
Site Plan Name:
Project Name: HARPER
I
GENERATOR INSTALLATION
I New Electrical Meter Second Electrical M
Lot No.13
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
Generator
Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 00 Utilities: _ Sewer _ Septic
Building Height:
NameWILLIAM J HARPER & CAROLYN
R HARPER
Name:GARETT GUIDROZ
GROVE CT
COMPLETE ELECTRIC INC
Address:3604
Company:
City: FORT PIERCE
State:'
Address:637 SEBASTIAN BLVD
Zip Code: 34951 Fax:
City: SEBASTIAN State: FL
Phone No.781-228-9875
Zip Code: 32958 Fax: 772-388-2411
E-Mail: l
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Phone N0772-388-0533
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.
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MORTGAGE COMPANY. _Not Applicable
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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 Countyy 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 attorne before commencin work or recordin our Notice of Commencement.
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Signatur ner/Lessee ntr ct as Agent for Owner
i 1s#irerll.ractor/License Holder
STATE OF FLORIDA
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STATE OF FLORIDA -�_
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COUNTY OF �'rt.� i�`Gjf'
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Sw�r affirmed) and subscribed before me of
y�ical Presen or Online Notarization
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_Physical Pres nce or Online Notarization
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Name of person making statemen .
Personally Known OR Produced Identification!"'
Personally Known Produced Identification
Type of Identific do
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Type of Identifcation
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Produced .
(Signature of Notar Public- State of orida)
(Signature of Notary Pub c- State of FI - ida )
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