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.
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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.
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