HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
III
ALL AP,, LICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
111
3 0 7- V
Date:11 Permit N m er:
POOR*"
_RECE VED
..._.. iiinrrrlrrlrrYiiliis - J U L 2 4 2018
Buii�tgPe_,,rrnit Applicat on
Plann, g and Development Services Permitting Department
Building and Code Regulation Division
2300IdirginioAvenue, Fort Pierce FL34982 5t. Lucie County, FL
PhonQ: (772) 462-1553 Fax: (772) 462-1578 CommercialResidential
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Legal
. 11001 RIDGE AVE FORT PIERCE, FL 34982
ption: B S HARRIS S/D BLK 5 LOTS 9, 10, 11, 12, 13 AND S 4 FT OF LOT 14-LESS RR RM/ (OR 2689-533, 534: 2860-1059)
Property Tax ID #: 3532-503-0069-000-8 Lot No.
Site P�an Name: r" Block No. 5
Prom,, Name: STEIGER
Setbl llcks Front Back: Right Side: Left Side:
T
RATOR INSTALLATION
1HVAC LJ Gas Tank
1 Electric 0 Plumbing
Sq. Ft of Construction:
)f Construction: $ 10,650.00
unaer tnls permit — cnecK all apply:
[]Gas Piping Shutters Q Windows/Doors
Sprinklers Generator Roof Roof pitch
Na � eGREGORY & KENNETH D STEIGER
iI
Ad I ess:11001 RIDGE AVE
S Ft. of First Floor:_
Utilities:Sewer Septic
Cit i FORT PIERCE State:FL
Zi 34982 Code: Fax:
Phglne No.631-704-3146
E-Iail:
Fil�!'n fee simple Title Holder on next page ( if different
fro the Owner listed above)
Name: GARETT GUIDROZ
Building Height:
Company: COMPLETE ELECTRIC INC
Address: 637 SEBASTIAN BLVD
City: SEBASTIAN State-�L
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail: cregan@completeelectricinc.com
State or County License: EC0001911
If v,'',O,'lue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUFP,L'€MMENTAL�flt�5TRUCT(al LII�LA1N��iRMATIOEU��
j^f
�."-
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
If�l
Nam GBF( (1RV R 1(Cn11JFTH r1 STEIGER
Name:
Address: ,wa4-R�
Addrllss:11oo, GEAVE FORT PIERCE,
III
City: J�ORTPIEtee- State:
City: SEeRSrM_ State:
Zip: III Phone
II
Zip: Phone:
FEE Ski
PLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Ador
ss:s o
Address:
City:
City:
l�
Phone:
Zip: Phone:
Zip: III
OWN
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi
hat no work o'r installation has commenced prior to the issuance of a permit.
St. Luci
which i'lin
!ICounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu
e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
l
In consi
1 eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco
dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll
51Iwing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessor
i
ly structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR
ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improi'�'ements
to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor
the first inspection. If you intend to obtain financing, consult with lender or an attorney before
Comm
ancing work or recording our Notice of Commencement.
S'
actor Agent for Owner
Signature of Contractor/License Holder
STA IE
COUNTY
OF FLORID
OF__ �,(d ►-1 �i% V`-C✓
STATE OF FLORIDA
COUNTY OF �'y �-c�
The forgoing
instrument was acknowledge before me
'day
The f rgoing instrut was acknowledged before me
ren
May
this ,iQ
T(a, l. of l-r 20 IX by
this of Jf,� lei 20/& by
lNajme
Pers99'�
o erson making state nt
ally Known OR Produced Identification
Name of person making statement
Personally Known _�C OR Produced Identification
Type
Identification
Type of Identification
Prod!
Iced %
Produced
ice
�.
.
(Sign
ture of Notary blic- State of rida)
(Signature of Notarr'� Public- State4 fFFllorida )
Com I
ission NO.G& Q a t2Z 00 (Seal)
Commission No. C� C 63) 2v`P(Seal)
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RECEIVED
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Rev. 8' /17