HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APP
Date: E;f('dw
TION TO BE ACCEPTED --�
R Permit Number: ' ou •
RECEIVED
Building Per it Application JUN -0 6 2010
Planning and Development Services
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 Corn ercial Residential x
PERMIT APPLICATION FOR: Generator
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,PROPOSED I)1tIPROVEMENT LQCATION•64
Address: 2703 BENT PINE DR FORT PIERCE, FL 34951
Legal Description: MONTE CARLO COUNTRY CLUB UNIT TWO �OT 97 (OR 4100-490)
Property Tax ID #: 1334-502-0014-000-1 Lot No.97
Site Plan Name: VEIT I Block No.
Project Name: VEIT I
Setbacks Front Back: Right Side: I Left Side:
GENERATOR INSTALLATION
Additional work to be errormea under this permit— cneck aii apply:
❑HVAC 13 Gas Tank ❑Gas Piping I Shutters ❑ Windows/Doors
❑Electric ❑ Plumbing []Sprinklers Generator ❑ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ I 0 `
Utilities:SI
S . Ft. If First Floor:
wer ❑Septic Building Height:
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CANNER%LESSEE
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CONTPACTOW
NameHENRY S & CAROL A VEIT
Name: GARETT GUIDROZ
Company: COMPLETE ELECTRIC INC
Address.637 SEBASTIAN BLVD
Address:2703 BENT PINE DR
City: FORT PIERCE
State:FL
City: SEBASTIAN State: FL
Zip Code: 34951 Fax:
Phone No. 772-489-6830
Zip Code:132958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail:'cr�gan@completeelectricinc.com
E-Mail:
Fill in fee simple Title Holder on next page
from the Owner listed above)
(if different
State or County License: EC0001911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINE R: _ Not Applicable
Name: ENRY CAROL V IT
Addre :270 NT PINE FORT PI CE, 3495
City: FO T PI E State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
AddreskiAg B
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby n
I certify that no work or installation has commenced prior to the
MORTGAGE COMPANY: _ Not Applicable
Name AR GUIDRO
Addre S: 27 3BENTP R
EE
City: BAS A State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Pho
to obtain a permit to do the work and installation as indicated.
tnce of a permit.
St. Lucie County makes no representation that is granting a permit ill authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rifles, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with vour Home Owners Association and review your deed for anv 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
commenciniz work or rkcordine vour Notice of Commencement.
er
STATE OF FLORIDA—,
COUNTY OF A::
The forlPg� ng instru ent was acknowledged before me
this _i=day of L�-rk_� 201 k by
re of Contractor/License Holder
ATE OF FLORIDA
)UNTY OF 01:7. t . 0"ge r
forgoing instru ent was acknowledged efore me
day of 201A by
Name of,drson making statement I Name of pe s� on making statement
Personally Known OR Produced Identification Personally Known t'� OR Produced Identification
Type of Identifi ation Type of Identification
Produced Produced
(Signs ure of Notary P lic- State of rids) (Signature of Notafy Public- Staii of Florida )
Commission No.6 31 -7 Z ,� �� COURTNEY E No. G Q� I _7Za (Seal)
`,APR PUB6 �
,eoy �1.Mo•-- Notary Public - St to of Florida
((tt,,11UU Comn �s.on # ,G 03�728
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