HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
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:GENEM/A I UM INN) I ALL/AT I®N
PROPOSED IMPROVEMENT LOCATION:
Address: 7900 PICOS RD FORT PIERCE, FL 34945
Property Tax ID 0: 2314-133-0001-000-6
Site Plan Name:
ProjectName: FOLBRECHT
DETAILED DESCRIPTION OF WORK:
GENERATOR INSTALLATION
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_M�ec-hanical _Gas Tank _Gas Piping _Shutters
I� ectric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction:
Cost of Construction $ C>, C;)c.
Sq. Ft. of First Floor:
Lot No.
Block No.
_Windows/Doors _Pond
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameMELVIN T & LUCT A FOLBRECHT
Name:GARETT GUIDROZ
Address:7900 PICOS RD
Company: COMPLETE ELECTRIC INC
City: FORT PIERCE State:fl,
Zip Code: 34945 Fax:
Phone No.772-216-4784
Address:637 SEBASTIAN BLVD
City:SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone 1\10772-388-0533
E-Mail: melfoibrecht@gmail.com
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mailcregan@completeelectricinc.com
State or County License EC0001911
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: I
DESIGNER/ENGINEER: _Not Applicable
Name:
Address:
City: State: _
Zip: Phone
FEE SIMPLE TITLE HOLDER: _Not Applicable
City:
Zip: Phone:
MORTGAGE COMPANY: — Not Applicable
Address:
City: State:
Phone:
BONDING COMPANY: Not Applicable
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as ntaicatea.
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 pos on the jobsite before the first inspection. If you intend to obtain financing, consult
utith fanrlor nr`A ttnr v hefore commencing work or recording your Notice of Commencement.
as AgQnt for Owner
STATE OF FLORIDA � STATE OF FLORIDA ,
COUNTY OF ``�� �2z-/�-�-� COUNTY OF —� r4 i �"-�^- �' ��r-�-✓�
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