HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7/17/2015 SCANNEPhit Number:
BY
St. Lucie -County
Building Permit Application R ECE I V ED
Planning and Development Services JUL 17 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 PERIMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residentialc
PERMIT APPLICATION FOR: Electrical
El
0 EDIMP116VEMNTOCAfft:
:TT —
Address: 2106 N KINGS HIGHWAY
Legal Description: 3634 39E40OFT OF W934.70FF OF N517.34 FT OF S745FT OF SW 114 OF SW 114 OF SEC (4.75AC) (OR 3568-1465)
Property Tax ID #: 1336-333-0003-000-9
Site Plan Name:
Project Name: RIO CITRUS
Setbacks Front Back:
Right Side: _ Left Side:
Lot No.
Block No.
4r"5�4 "Ise— — ec'�l
AT
k6oNsf"RUCTION FO
W N . . ..... A
;k X
AaaltionalworKtoi3enerTormea under this permit— cneCK all apply:
1jHVA E]Gas Tank DGas Pir _ Shutters []Windows/Doors
ElElectric 0 Plumbing []Sprinklers 1:1 Generator EIRoof
Total Sq. Ft of Construction:
Cost of Construction: $ a:2� '20127
S Ft of First Floor:
Utilities.."Li SevverE]Septic
Building Height:
NER/LlEtSffi,�
CONTRAUMC,1z.
�Ak' �At""
Name jl� (r, *7'e&T.
Name: GARETT GUIDROZ
Address: ;7;6 Z4 cS. 13410 Z—/Lebmpany:
COMPLETE ELECTRIC, INC
City: _44 —Z .
,W �ZC,01 /If State.,!�:e�—
Zip Code:_ Fax:
Phone No At-aA. C09�-s-
Address- 0637 SEBASTIAN BLVD.
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail:
Fill in fee simple Title Holder on next page I if different
from the Owner listed above)
E-Mail: mmacleary@completeelectricinc.com
State or County License: EC0001 911
If value of construction is $2sao or more, a RECORDED Notice
is requirea.
�P'PlLd IINFOA Tlo��
SO MENtAL't0N�TRqdlqN'lLfitN ��,AW' MA"
41
DES[ ERANGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip: _ Phone:
—State:
FEE SIMPLE TITLEHOLDER:
Name:
_NotApplicable
BONDING COMPANY:
Name:
—NotApplicable
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Count makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in co 11ct with any applicable Home Owners Association rules, bylaws or an9covenants 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
commencing work or recording vour Notice of Commencement.
— Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTYOF
The forgoing instrument was acknowledged before me
this _ day of 20 --by
STATE OF FLORID
COUNTYOF
The forgoing instrument was acknowledged before me
this I Idayof J .20 lb by
L
(Name of person acknowledging) (Name olpevQri aclinowledging)
(Signature of Notary Public- State of Florida )
Personally Known _
Type of Identification
Commission No.
Revised 07/15/2014
OR Produced Identification
(Seal)
Personally Known __�j
Type of Identification
Commission No.
State of Florida I
OR Produced Identification
Notary Pdblic Sfiate of Florida
Maridoll Hatfield
0911912015
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
Name:
City:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: —
Phone:
:iN LI(N OiA
qot Ap�licable
—State: —
Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: —Not Applicable
Name:
Address:
City:
Zip: Phone:
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie Court makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conlylict with any applicable Home Owners Association rules, bylaws or ang 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
commencine work or recordine vour Notice of Commencement.
— Signature of
STATE OF FLORIDA
COUNTY OF INDIAN RrVER
The fo oing instrument was acknowledged before me
this '? day of A Lkc-1 LLS-T 20 U5—by
STATE OF FLORIDA
COUNTY OF INDIANRIVER
The forgoing instrument was acknowledged before me
this day of AUGUST
20 10; by
GARM GUIDROZ'- GARETTGUIDROZ
(Name ojf p"son acknowledging) (Name of person acknowledging)
(Signature of Not blic- State of Florida I
(Signature of Not tj blic- State of Florida
Personally Known x OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. ECO001911 _=' vVvredlyV'6"�'""�Iommission No. ECN01911 to of Ftort 8
PU lic Slate of I Nomry�Pub=ICSta�
Notary b 71odda
Marido I Hatfield Q? PAaridoll Hatfield
.... Oman rrE 100 'y . ..........
EXiiireS 09/1912015
Revised 07/15/2014 4����eA
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS