HomeMy WebLinkAboutCOMER APPAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Planning and Development5ervices
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4624553 Fax: (772) 462-1578
Address: 8590 GERMANY CANAL RD FORT PIERCE, FL 34987
Property Tax ID #: 3229333-0001-000-2
Site Plan Name:
Project Name: COMER
GENERATOR INSTALLATION
New Electrical Meter
Second Electrical Meter
Additional work to be performed under this permit —check a!I that apply:
_Mecha ' `al _Gas Tank
_ Electric — Plumbing
Total Sq. Ft of Construction:
Cost of Construction;
_Gas Piping
_Sprinklers
NameSAMUEL P & ALEXANDRA Z COMER
Address:8590 GERMANY CANAL RD
City: FORT PIERCE
Zip Code: 34987 Phone No.772-216-1075
Shutters
enerator
Residential X
Lot No.
Block No.
_Windows/Doors _Pond
Sq. Ft, of First Floor:
—Roof Pitch
Utilities: _Sewer _Septic Building Height:
State:
_
E-Mail; scomer299@gmail.com
Fill in fee simple Title Hai
der 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 No772'388-0533
E-Mail cregan@completeelectricinc.com
State or County License EC0001911
value of construction is 2500 or more, a RECORDED Notice of Comm
if encement Is required.
If value of HAVC Is $7,5n0 or more, a RECORDED Notice of Commencement is required.
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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 AFFIDVITt 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 oftqmrrienicemient,
Signature of Contractor/License Ho e
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA 4
STATE OF FLORIDA
,i
COUNTY OF LLIGZ >
COUNTY OF
Swor n to (or affirmed) and subscribed before me of
S orn r affirmed) and subscribed before me of
V Physical Prese a or Online Notarization
Physical Presence or Online Notarization
this day of ____ 2024 by
this - day of _ 202 by
Name of person making statement
Name of person makingstatement.
Personally Known t,/OR Produced Identification
Personally Know R roduced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Notary Publl - State of FI a )
(Signdtisde dFAotary
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No.
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DATE
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COMPLETED
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