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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 4» SGANNO I �s - v-q L Building leif Application j Planning and Development Services Itfj '?�%B Building and Code Regulation Division ��' �� Depa, 2300 Virginia Avenue, Fort Pierce FL 34982 ®4�n!)��t Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMIT APPLICATION FOR: Generator Address: 9519 LAURELWOOD CT FORT PIERCE, FL 32986 Legal Description. MONTE CARLO COUNTRY CLUB UNIT THREE LOT 243 (OR 4004-750) Property Tax ID #: 1327-701-0063-000-8 Site Plan Name: COLLINS Project Name: COLLINS Setbacks Front Back: Right Side: GENERATOR INSTALLATION Left Side: Lot No. 243 Block No. itional work to be performed 11HVAC Gas Tank under this permit —Icheck all Gas Piping apply: Shutters a Windows/Doors _ 11 Electric 0 Plumbing ❑SprinkleIrs Generator Roof Total Sq. Ft of Construction: Cost of Construction: $ ) S-7 96 C) r d4 i S . Ft. of First Floor: _ Utilities:Cn Sewer E]Septic Building Height: x �ONICRJLES+}E1_' Rr ag 7 fCTRT£ Name THOMAS & DEBORAH COLLINS Name: GARETT GUIDROZ Address: 9519 LAURELWOOD CT Company: COMPLETE ELECTRIC INC Address: 637 SEBASTIAN BLVD City: FORT PIERCE State: FL Zip Code: 32986 Fax: City: SEBASTIAN State- FL Phone No. 772-285-3662 Zip Code: 32958 Fax: 772-388-2411 Phone No. 772-388-0533 E-Mail: E-Mail: cregan@completeelectricinc.com Fill in fee simple Title Holder on next page (if different State or County License: EC0001911 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicat Name: Address: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: MORTGAGE COMPANY: _ Not Applicable Name: Address: City: State: Zip: Phone: BONDING COMPANY: Not Applicable Name: _ Address: City:_ Zip: 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 Pe which is in conflict with any applicable Home Owners Associal structure. Please consult with your Home Owners Association In consideration of the granting of this requested permit, I do in accordance with the approved plans, the Florida Building G The following building permit applications are exempt from ui accessory structures, swimming pools, fences, walls, signs, scr WARNING TO OWNER: Your failure to Record a Notic improvements to your property. A Notice of Comm, before the first inspection. If you intend to obtain fi commencing work or recordinv—vour Notice of Com _ Sign&ure of Owner/ STATE OF FLORI COUNTY OF The forgoing instrument was acknowledged before me this _—day of W1 a,, 20 (' by l v ►h (Name ot person acknowledging) CAS e-c f-e I (Signature of Nary Public- State of Florida ) Personally Known OR Produced Identificati4t____ Type of Identification Produced ,DI Commission No. G G 6 � 1-7a (Seal) Phone: ,nit will authorize the permit holder to build the subject structure m rules, bylaws or and covenants that may restrict or prohibit such nd review your deed for any restrictions which may apply. ereby agree that I will, in all respects, perform the work les and St. Lucie County Amendments. going a full concurrency review: room additions, rooms and accessory uses to another non-residential use of Commencement may result in your paying twice for ncement must be recorded and posted on the jobsite ancing, consult with lender or an attorney before iencement. ,C" Revised 07/15/20142. �`�; Notary Public - State of Florida _. ; �* Commission # GG 031728 STATE OF FLORID COUNTY OF '(r Q r1 0" The forgoing instrument was acknowledged before me this L—day of r"K" 20 L by I(' C'y-C-+ (I C1' a'_� (Name of person acknowledging ) (Signs ure of Nota Public- tat f Florida ) Personally KnowA------ OR Produced Identification Type of Identification Produced Commission No. p (Seal) COURTNEYEREGAN Notary Public - State of Florida E Commission # GG 03172,9 "�.,,o F�q,o Bonded thro qi •,,?FOFF`�a,c Y ll �" omm. Expires Sep 1 , 2020 REVIEWS FRO P6G's s n' PLANS VE6E�TIOonerAu'Irl4Ri6QffNot ypt(kvtly. ROVE COUNTER REVIEW REVIEW EVIEW REVIEW R I JEW DATE COMPLETE INITIALS i 5/18/18 09:02AM Corn pleteElect 77?1_?�132411 Pagel rN-,4 Name: Address;� City: State: zip: Phone' FEE SIMPLE TITLE HOLDER: Not Applicable Name: Address: City: Zip: Phone:- -7 -7Z,141, Z- / r7F MORTGAGE COMPANY: ' � Not Applicable Warne; Address: City: State. �.... Zip: Rhone: BONDING COMPANY: Not Applicable Narne: Address: City: Zip: -Phone: .- ­ I certify that no work or Installation has commenced ,rior tot the Issuance of a permit 5t. Lucie Coun�( mak no repre5sentration that is Kranting a ermlt will author9ze'the ermit holder to build the subject, s�ii�,rit re which Is in Wr�ni'Iict with any applicable Moore Owners AssaClGtit7n ruEaS, bylaws or an�covenants that may regrict or prosuch structure, Please consult with your Home Owners Association and review your deed ar any restrictions whit may apply. In consideration of th,e granting of this requested permit, I da 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 accessory structures, swimming pools, fences, walls, signs, I WARNING TO OWN6Rs Your failure to Record a Nal Improvements to your property. A Notice of Comi before the first inspection. if you intend to obtain commencing work or recordinwour Notice of Coi ,•••, Signature of Owner/ STATE OF FLORIDA COUNTYOFJ -el The Ms instrument was acknowledged more tree thisay of rA gxt 20 .S,,,Lby (Name of person acknowledging) (Signature of is ry Public-5 a of Florida) r �� Personally Known - OR Produced ldentiflcaticfrr�_ Type of identification Produced.- Commission (Seal) Revised 07/15/2014 a �r'� Notary Public - Vale of r Commission r3G 031 Jergoing a full coneurrency revlem'roorri additions, on rooms and accessory uses to another non-residential use of Commencement may resuit in your paying twice for ncemgnt must be recorded and posted on the jobsite lancing, consult with leader or an attorney before iencemerlt. STATE OF FLORIDA �..,(; �. n �,' COUNTY OF The forgoing Instrument was acknowledged before me this,} �,�.11�--day of ir-Ka,,-,�, 20 LP_ by 1 �, C4, jai i_t is �i✓i �.. (lit ms3 a of person acknowledging) (Sign ure of trots Public- kAtqP Florida ) Personally Know W OR Produced Identification Type of identification Produced Commission No, GA 6 g) 77L (Seal) VUUtiTNEY F REGAN Notary 1'abliC • $tatq 01 flarlds Camtnission # GG ���,.• , loon BOtAro r $ '•: ems. e;v . �'��`� Oo 4mm, apires $ap 115202 JO ftI:VICw5 FRO a' LANrs r R �iNw ROVE COUNTM REVIEW REVIC j­-REVIEW REVIEW R IEW DATE COMPLE N INITIALS