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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST RE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: ! (D - �lJl{1'1 s RECEIVED BulnrgF09 Application Planning and Development Services JUN -0 5 ,2018 Building and Code Regulation Division Permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line Address: 9401 MEADOWOOD DR FORT PI FL 34951 Legal Description: MONTE CARLO COUNTRY CLUB UNIT ONE LOT 182 (OR 3988-1515) Property Tax ID #: 1327-801-0071-000-4 Site Plan Name: CHILDS Project Name: CHILDS I Setbacks Front Back: Right Side GENERATOR INSTALLATION ❑HVAC 11 Electric Lot No.182 Block No. Left Side: "Shutters 0 Plumbing Sprinklers Z Generator 11 Roof pitch Total Sq. Ft of Construction: ad Cost of Construction: $ C1 f, ? '4 6 o Name WILLIAM R & BETH L CHILDS Address:9401 MEADOWOOD DR S Ft. of First Floor: _ Utilities:] Sewer Septic City: FORT PIERCE State:FL Zip Code: 34951 Fax: Phone No.772-979-1935 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: GARETT GUIDROZ Windows/Doors Roof 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. 5llPPLEMgI�NTAC{NSTRFUCTQNsL[N(.tWnINIRMATiUN64..n k.,_.. }.�.. DESIG ER/ENGIN R: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable Nam WILLIA &BETH HILDS Name; ARETT I ROZ Addr $; 9401M DOWOOD Addr $:94 EADOW DDRF PIERCE, 951 City: FORT PIER State: City: EBAST State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: a Name: Address: Address fi37�S BASTI City. V City. Zip: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that no work or installation has commenced prior to the issuance of a permit. St. Lucie County makes no representation thatlis 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 cqmMepcing work or recording your Notice of Commencement. ot�-Cu g e o can- i era�t>1 r •.caner ignature of Contractor/License Holder STATE OF FLORIDA nn'` STATE OF FLORIDA COUNTY OF �1d ; a� 1� s e� COUNTY OF^ The forgoing instrum nt was acknowledged efore me this-1'—day of (x-✓\ 20�by The forgoing instrument was acknowledged before me thisl'�.—`day of _ 20 by Name of person making statement Name of pe sr on making statement Personally Known OR Produced Identification L_�- Personally Known OR Produced Identification Type of Identificati Type of Identification Produced L S Produced �z. (Signature of Notary P b c- State off,Flori (Signature of Nota P blic- Sta ee f o(, ona ) d Commission No. &, 3) Z d (Seal) Commission No.6 & UQ (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETEDMqM Rev. 8/2/17 ary Public -State of Floridallotary ommission # GG 031728 ; O�Pi�V Pfe��•� NEY E REGAN Public - State of Florida •, Commission # GG 031728 omm. Expires Sep 19, 2020OF F�0,My Comm. Expires Sep 19, 2020 ed through National Notary Assn. ""� ���" Sonde r