HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/26/2015 SCABN�NED Permit Number: lS o
.St. Lucie Countv
_ RECEIVE
Building Permit Application AUGPlanning and Development services - _ AUG 2 7 2015
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34981
Phone:(772)462-1553 Fax:(772)462-1578 Commercial X Residential
PERMIT AIPPLICATION FOR: Electrical
pEtOP,OSEQN}RROVEMENT LOCAL I(1N �" r :£ h
:` k d
; ` ` r'r
Address: 9675 RANGE LINE ROAD- BUILDING 4
Legal Description: 0137 38 THAT PART OF SEC LYGSELY OF AND CONTIG TO FEC RR MPDAR BEG NE COR SEC
TH CONT S 00 MIN 54 SEC W ALG E LI SEC 22097.98 FT TO POB
Property Tax ID #: 4201-113-0001-020-9 Lot No.
Site Plan Name: Block No.
Project Name: LIBERTY TIRE
Setbacks Front Back: • Right Side: Left Side:
SERVICE REPLACEMENT AND BRANCH
DRAWINGS
FOR EQUIPMENT PER ENGINEERED
nuuiulIUum WUIN w ue eneuneu uuue, uu�Punm—urcLn du apply:.
IvIHVAC Gas Tank Gas Piping —Shutters ❑ Windows/Doors
Electric Plumbing ❑Sprinklers 1:1 Generator Roof
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2 �. �Q U[ilities:�Sewer Septic ' Building Height:
01hFN_ f;/LESSEE
- r ""Y--v.'i rC-
CONTRACTOA
Name Li
ZTrTe R
Name: GARETT GUIDROZ
Address:
Wd'c6+ni' Q 100
Company: COMPLETE ELECTRIC, INC.
City:
Phone No.
State:
•--- --" —
—� �O '#' - - - --- --
Address: 637 SEBASTIAN BLVD.
"_-ityrSEBASTIAN - ---—State:El=.-
Zip Codei 95 ax.772-388 411 -- ---
Phone No.772-388-0533-
E-Mail: Kb(G0rnev'e (u �a•:�r'4ne_e&m
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above) •
E-Mail: mmacleary@completeelectricinc.com
State or Couhty License: EC0001911
If value of construction is $2500 or more, a RECgRDED Notice of Commencement Is reoired. II
SUP C�N1E[U, A G(I�fSTI�iiG13flN lI! lA1N 11F
iV1AfIOrN "aL ,k < p x
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.DESIGNER/ENGINEER: _Not Applicable
Name!, p��.�..�.gAF ?CNK
MORTGAGE COMPANY: otApplicable
-Name: '
Address: m17 77,th "jW
Address:
City: REA" State: _Ft,
Zip: 32?6A Phone: ?;Z_SF -/Bf3a
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Act ARplicable
Name:
BONDING COMPANY: _Not Applicable
Name:
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 County makes no representation that is g7anting 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 grahting 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 rerording vnim Nntirp of Cnmmpnrmmpnt.
_ Signature of Owner/ Lessee/Agent
STATE OF FLORIDA
COUNTY OF S" r Ll A L e
The for i instr ment was was before me
this rTay of t 2015by
(Na of person acknowledging)
(Signature of NotaryP b'- State of Florida)
Personally Known OR Produced Identification
Type of Identification Produced 01SIDY M WINE
STATE OF FLORIpA
COUNTY OF IIJb(_L1hI iZvV-
The forgoing instrualent was ackriowledged before me
this day of J LIS=, 20 ,6 by
Type of
Known _ V OR Produced Identification
Commission No. � -��f' OTARa' PUBLIC "I Commission No. QF- T s
\�XTE OF FLORID/y
e • �3�fi'1 f r __ff CC1A0Q I
Notary P1
Maddoll
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS,
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
dREVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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