HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
4» SGANNO
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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_'
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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
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5/18/18 09:02AM Corn pleteElect 77?1_?�132411 Pagel
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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
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