HomeMy WebLinkAboutBUILDING PERMIT APPLICATION. �.
ALL APPLICABLE INFO MUST 0ECOMPLETED FOR APPLICATION TOBEACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300Virginia Avenue, Fort Pierce B3498
Phone: (77Z)462-1SS3 Fax: (77Z)46I'1S78 [ODlDOerCi8lResidential X
PERMIT APPLICATION FOR: Generator
Addrpss- 7424 LAURELS PLACE PORT SAINT LUCIE, FL 34986
Legal Description. PARCEL 15AATTHE RESERVE LOT 12(OR 3728'4U7
Property Tax 0#: 3322'501'0015'000'4
Site Plan Name:
Project Name: ROBERT BURTON
Setbacks FrnntBack:__
GENERATOR INSTALLATION
Right Side: Left Side:
Lot No. 12
Block No.
Additional work to be nertormed under this o cnecwax app/y:
HVAC F-_]Gas Tank]GasPiping In Shutters V0ndnws/Doors
1-1Electric L_JP|umbing | |Sprinklers |iGenerator E~}Ronf
Tota|3q. Ft of Construction: S Ft of First
Cost ofConstruction: $ 18'200.00 Uti|ities�-1Sevxer03eptic Building Height: �|
Address: 7424 LAURELS PLACE
Company: COMPLETE ELECTRIC INC.
City: PORT SAINT LUCIE State: FL
Zip Code: 34986 Fax:
Address: 637 SEBASTIAN BLVD.
City: SEBASTIAN State: FL
E-Mail: MMACLEARY@COMPLETEELECTRICINC.COM
Fill in fee simple Title Holder on next page if different
from the owner listed above)
State or County License: FLORIDA 1-1 ra r., 0
If value of construction is $2s00prmore, oRECORDED Notice o*Commencement is required.
DESIGNER/ENGINEER:
Name: _
Address:
City:
Zip:
Phone:
Not Applicable
State
MORTGAGE COMPANY:
Name:
Address:
Citv:
Zip: Phone:
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: 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 Notice of Commencement.
STATE OF FLORIDA
COUNTY OF �xldoia.r V�
The forgoing instrument was acknowledged before me
thiQ:!f%y of Y,e1 a4 20 ELlby
s
Signature of Contractor/License Holder
STATE OF FLORID
COUNTY OF i a a Q; V e
The forgoing instrument was acknowledged before me
this��ay of 20 j_:3_ by
to
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary ublic- State o orida) (Signature of No a Public- Stde of Florida )
Personally Known OR Pro ucgd Identificatio4_--'� Personally Known (/ OR Produced Identification
Type of Identification Produced �Type of Identification Produced
GC, 0317 "� �!; P,,,, COURTNEY E RE
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Commission No. C mmission No. 031 r° I)Notary Public -State
ii"n i COURTNEY E REGA -• . Commission i► GG
= Commission #t GG 031;
Revised 07/15/2014 "%;1°f�t°n-' My Comm. Expires Sep 19,
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Pictary nolle - State
of Florida
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