HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLIC BLE INFO MU T BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Date: 12 a SCANN Permit Number:
BY
Building Permit Application
Planning and Development Services
Building and Code Regulation Division c�PC61
2300 Virginia Avenue, Fort Pierce FL 34982 oG'��P'�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator
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P,ROPOSED111%l[?RCVEMEN�%LflCAT)fll�
Address: 5207 DEER RUN DR. FORT PIERCE, FL 34951
Legal Description: HOLIDAY PINES S/D PHASE III LOT 448 (MAP 14/07S)(OR 3718-1675)
Property Tax ID #: 1313-502-0025-000-6 Lot No. 448
Site Plan Name: Block No.
Project Name: ERVIN
Setbacks Front Back: Right Side: Left Side:
GENERATOR INSTALLATION
icinionai worK to De errormea unaer finis permrc — cnecK and
EIHVAC _ Gas Tank Gas Piping
11 Electric ❑ Plumbing Sprinklers
n
appiy:
Shutters ❑ Windows/Doors
Generator ❑ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 10,800.00
S .. IFt. of First Floor: _
Utilities:) _ISewer 0Septic
Name MARKES F. & ANNA M. ERVIN
Address: 5207 DEER RUN DR.
City: FORT PIERCE State: FL
Zip Code: 34951 Fax:
Phone No. 772-579-8961
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
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 $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _ Not Ap
Name:
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable
BONDING COMPANY: Not Applicable
Name: _
Address:
City:_
Zip:
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I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
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 andj 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
commencinf; work or recordin>; your Notice of Commencement.
_ Signat eru of Owner/ Lessee/Agent
STATE OF FLORID
COUNTY OF 2, ;Vr ey—
The for ping instru ent was acknowledged pbefore me
this V day of vt) 20 j_8by
1 12a,A_ Fro. n
(Name of person acknowledging)
(Signature of Notary ublic- State 41oricla )
Personally Known OR Produ ed Identificatio n
Type of Identification Produced .. _
Commission No. 6 GO 3 j129
Revised 07/15/2014
re of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF �a� P�gfr
I
The fo going instrument was acknowledged before me
this day of 20 ) Q by
i
(Name of of person acknowledging)
I
II.
(Signature of Nary Public- Wte of Florida )
Personally Known L-f" OR Produced Identification
Tygegf Identification Produced
COURTNEY E REGF�N
)tart' Public - State of P[k,6
Commiss.in # GG 03 728
Bonded through National Notary Assn.
No. GG031-729 (Seal)
Notary Public - State
Commiss.in # GG
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, 2020
y Assn.