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HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �11 RE �j^ 4 I,•�. 0 g 2017 Permit Number: �� 04 aXrD Building Permit Application Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Generator PROPOSE© ii111PROUEMENT L0`CATION _ t Address: 230.2 ATLANTIC BEACH BLVD. HUTCHINSON ISLAND, FL 34949 Legal Description: REV PL OF FORT PIERCE SHORES - UNIT 4-BLK 30 LOT 12 (OR-3681-786) Property Tax ID #: 1436-603-0023-000-0 Lot No. Site Plan Name: ROBERT COLLADA Block No. Project Name: ROBERT COLLADA Setbacks Front Back: Right Side: Left Side: GENERATOR INSTALLATION aaitionai worK to De 11HVAC R] Electric ertormea E] unaer tnis permit— cnecK au Gas Tank Gas Piping In Plumbing Sprinklers ® apply: Shutters Windows/Doors Generator F]Roof 0 Total Sq. Ft of Construction: Cost of Construction: $ 6 �, h G()— "6 S Ft. of First Floor: _ Utilities: Sewer Septic Building Height: OVI/NEFt/LESS CONTRACTOR w' L a# xiYe.✓h..,1_ v tv,,, _d, a-r k.- d 3L .1lM:'x, si tat _3. , 5$p,,{µw(t{ x'M1 C. rla ...�M`Y%N...0 s 9 't .. Name ROBERT A. & SYLVIA COLLADA Name: GARETT P. GUIDROZ Address: 2302 ATLANTIC BEACH BLVD. Company: COMPLETE ELECTRIC INC. City: HUTCHINSON ISLAND State: FL Address: 637 SEBASTIAN BLVD. Zip Code: 34949 Fax: City: SEBASTIAN " State: FL Phone No. 561-722-3272 Zip Code: 32958 Fax: 772-388-2411 Phone No. 772-388-0533 E-Mail: CREGAN@COMPLETEELECTRICINC.COM E-Mail: Fill in.fee simple Title Holder on next page ( if different from the Owner listed above) State or County License: EC0001911 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 19 GINEER: _ Not Applicable Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: Citv: Zip: Phone: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: 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 your paying twice for improvements to your property. A Notice of Commencement must be recorded 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 your Noticefof Commencement. STATE OF FLORIDA COUNTY OF The for oing instrument was acknowledged before me this --I of 20 Llby (Name of person ackn wledging ) re of Co er STATE OF FLORIDA COUNTY OF -1:_"n d7f an %2 s V-e.►-- The forguping instru ent was acknowledged before me this r'day of J 20 I_% by CA l.lA1-\C`-.f C r� (Name of person nowledging ) (Signature of Notary P blic- State of FI rida) (Signature of Nota ublic- State o Florida ) Personally Known OR Pro uced Identification L� Personally Known L/' OR Produced Identification Type of Identification Produced 19L-- Type of Identification Produced Commission No.G.> G 6 3 1 —12Nr (Seal) NLC, 6SI-12,k (Seal) COURTNEY E REG N a`ao1 ����•,� Notary Pfido u C Revised 07/15/2014 commission # GG 031728 :tea° Notary Public State of • M Comm. E^pins Sep 19, 2020 • : : • Commission # GG 031 y .. �cen %Nd AT: Idly Cnmm F••nirac Con 1 REVIEWS FRONT COUNTER Bone REVIEW r P R ISOR REVIEW PLANS REVIEW VEGETATION REVIEW �'°;; Bon led throu h National Not REVIEW REVIEW DATE COMPLETE INITIALS 2020 Assn.