HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� r
Date: P 't t O Permit Number: (1 3, - Q3L( 0
i SCANNED
BY
(St Lu°e County
Built- ., %rmit 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
PROPQSED !I APR'1lE lE(kT L0"CATION a
Address: 1426 N 35TH ST
Legal Description: SUNLAND GARDENS BLK 21 LOTS 9 AND 10 (0.39 AC) (OR 3858-2795)
Property Tax ID #: 2405-601-0383-000-2
Site Plan Name:
Project Name: WALKER
Setbacks Front Back:
GENERATOR INSTALLATION
Right Side:
Additional work to be ertormed under this permit — check a
11HVAC Ei Gas Tank Gas Piping
Electric ❑_ Plumbing Sprinklers
cr 6
Left Side:
apply:
II Shutters
W1Generator
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ d I S QC. Utilities:Cn Sewer O Septic
Name WARREN M. & IDELENE E. WALKER
Address:1426 N 35TH ST
City: FORT PIERCE State: FL
Zip Code: 34947 Fax:
Phone No. 772-924-4895
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Lot No. 9&10
Block No. 21
QWindows/Doors
Roof
Name: GARETT GUIDROZ
Building Height:
Company: COMPLETE ELECTRIC INC.
Address: 637 SEBASTIAN BLVD.
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail: cregan@completeelectricinc.com
State or County License: EC0001911
If value of construction is S2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER:
Name:
Address:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
Citv:
Zip: Phone: _
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
Not Applicable
tate:
Not Applicable
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.
b)wvwv\, ),n, �34VQJ,
_ Sign ature-of-Owner/_L•essee/Agent —
STATE OF FLORID ��^^
COUNTY OF A v, FhY-CV-
The forgoing instrument was acknowledged efore me
this ��elay of 20 Iby
ignature of Contractor/License H
STATE OF FLOR
COUNTY OFP_�VZ {/
The forgoing instrument was acknowledged (before me
this day of F-�Jbh", 20 3 by
LO of r� r\ rn, lu -I k--C/ C6� 6L'-� cc-2
(Name of person acknowledging) (Name of person acknowledging)
(Signature of Notary P lic- State of Morida) L� (Signature of Notar Public- State Florida )
Personally Known OR Prod d Identification Personally Knowk� OR Produced Identification
Type of Identification Produced `�� Type of Identification Produced
Commission No.G C 6 31 I ZF (Seal) Commission No GC 0 3 I 1 2-9' (Seal)
anCOURTNEY E REGAN 11
Notary Public - State of Florida ffl"ayP�',, REGAN
_�= Notar Public - State of Florida
Revised 07/15/2014 - ' = Commission # GG 031728 = y
=r4 `o:� My Comm. E.:pires Sep 19, 2020 Commission # GG 031728
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