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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONl ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: a -Q,Permit Number: n s - Building Permit Application rE Cyr "T71Y Planning and Development Services DEC 1 2017 Building and Code Regulation Division 2 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Resiffe"AtiaM........... .. PERMIT APPLICATION FOR: Generator r µ �T. 'E � 6 �.,. iI�lAx�R.p✓.v60��t•S§���������VP.,�.....-��. ,{i +..x�: .. ..,�, a4,.kf ..V ui. aii: ...��,$.. �✓Jd�,+L,+��.. �e����� a � i �',�w i' y Address: I G i sce.n CCU e I 1 a.._ C4— ,iS 1C"noi . 1 L � 4'14 9 Legal Description: QUEENS COVE UNIT 1 BLK 1 LOTS D & E (OR 1253-2545: 2748-1620: 2784-1421: 2805-1303: 2805-1303) Property Tax ID #: 1414-701-0004-000-4 Site Plan Name: Project Name: FARRIS Setbacks Front Back: Right Side: GENERATOR INSTALLATION mitionai worK to pe errormea unaer tnis permit— a E]HVAC _ Gas Tank ❑Gas Piping Electric Plumbing Sprinklers Total Sq. Ft of Construction: _ Cost of Construction: $ 9,850.00 Left Side: "Shutters gGenerator S Ft. of First Floor: Utilities. Sewer Elseptic Lot No. D&E Block No. 1 QWindows/Doors Roof Roof pitch Building Height: ,_ ....,.......ff�. �...�... t.....:.rE u` �E i NTRA�TGRIt r.....ri._,a Name i bra ff Name:6cretl- P &6 dvIZ Address: 1 oZ`1 Q 4'e.2h 2C &Se 1 I Q L-1— Company: COMPLETE ELECTRIC INC. Address: (� 31 �=•- �.Ca-� a^ 31�1� City: Ja,A State:FL City: Sk State: FL Zip Code: 34949 Fax: Phone No.863-581-9971 Zip Code: 32958 Fax: 772-388-2411 E-Mail:farrisdebbie@ymail.com Phone No. 772-388-0533 Fill in fee simple Title Holder on next page ( if different E-Mail: cregan@completeelectricinc.com State or County License: EC0001911 from the Owner listed above) IT vawe or construction is sZsoo or more, a RECORDED Notice of Commencement is required. �P1 �,.,.5 ©,4Srfi3' l*.Y! •"1, Y� .. .i�iLx`� #',fir b P � i, ���r�e ,.sr s 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 AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. 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. Sign`n` ture oof'Owner/'L'essee/Contractor-as-Agent-for Owner, Signature of Contractor/License STATE OF FLOR DA STATE OF FLORIDA n COUNTY OF d%0.n ��J e� COUNTY OF :Ih t r\ F �`�`C The forgoing instru ent was acknowledged before me tfils 2t6clay of 20_ by Name of person making statement /' Personally Known OR Produced Identificatio'Pi" Type of Ident' ' at'on Produced The forgoing instr ent was acknowledged before me this�day of r-. r 20-a by Z Name of per o; n mrking statement Personally Known C/ OR Produced Identification Type of Identification Produced — Le��� �_' e,— Oyu r"S L (Signature of N ry Public- Statel9f Florida) (Signature of Not Public- Staf4 of Florida ) Commission No 6 6 &1 (Seal) Com ission No.G G 0,3i -7 24 (Seal) `,•=ot�a P�e`�- COURTNEY E REGA RNY P�a�, COURTNEY E REGAN Notary Public - State of Florida . o: Notar B • . Commission # GG 03 728 . • Co mission # GG 17 REVIEWS FRONT % r My C �L1fEE� IVMR1 , 2 S VEGETATION ` Co iMQORgeyl9COUNTE 'Ii� WBonde thr�gt�@�palNot ry p/ W REVIEWeRwBonded hroJdEll lE1J>rl��,.... DATE RECEIVED DATE COMPLETED Rev. 8/2/17 L_