HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONE
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .10,,23- )7. SCANNED Permit Nui
BY
St. Lucie County
Building Permit Ap
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE: GENERATOR
PROPOSED IMPROVEMENTLOCATI6CV:
Address: 9405 SCARBOROUGH CT PORT SAINT LUCIE, FL 34986
Property Tax ID #: 3322-507-0028-000-6 Lot No.23
Site Plan Name: Block No.
Project Name: LEACH
p DETAILED Dl SCRIPTION.OF WORK; : s$ *-'
GENERATOR INSTALLATION
G .NSTRIJIO(ON INFORMATION: '
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
>electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft -of Construction: /}
Cost of Construction: $ 1 ) � -0
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNERAESSEE:
CONTRAC70R: .
NameEUGENE F LEACH III & ELIZABETH MCCLELLAND
Name:GARETT GUIDROZ
Address:9405 SCARBOROUGH CT
Company: COMPLETE ELECTRIC INC
City: PORT SAINT LUCIE State: l "
Zip Code: 34986 Fax:
Phone No.203-809-5054
Address:637 SEBASTIAN BLVD
City:SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone N0772-388-0533
E-Mail:efl20cO@outlook.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailcregan@completeelectricinc.com
State or County LicenseEC0001911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTALCONSTRUCTION�-1, IAW INFORMATCQN:
-
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
Address:
City:
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 that is 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 JOB SR EFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
H YOUR LENDER O N A'TTORW BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
YG _ f-0wner, 'L7e a ,Contra-- ctto a's? ent for Owner
Si nature of Contractor/Licen older
STATE OF FLORIDA
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