HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 02/13/2018
Permit Number: I Y(IZ— a �;J
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Building Permit Application
Planning and Development Services FEB 292018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting
Phone: (772) 462-1S53 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
Address: 5047 N Ala Apt 1202, Hutchinson Island, FL 34949
Legal Description: ATLANTIC VIEW BEACH CLUB CONDOMINIUM #1 UNIT 1202 (OR 4072-11
Property Tax ID #: 1414-610-0062-000-9
Site Plan Name:
Project Name: RANDY RANKIN SERVICE
Setbacks Front Back:
Right Side: Left Side:
SUPPLY AND INSTALL NEW 100AMP SERVICE FOR ELECTRIC CAR CHARGER
Lot No.
Block No.
lUlldl WVln LU UC
Cl IUl l lleu u l luel LIIID Ne1111 I L—LIIMK d1J dpply:
0 a
HVAC
Gas Tank Gas Piping _ Shutters
Windows/Doors
Electric
0 Plumbing Sprinklers 1:1 Generator 0
Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 4300.00
S Ft. of First Floor: _
Utilities: 0Sewer 0Septic
Building Height:
Name Gail Rankin and Randy R Rankin
Name: GARETT GUIDROZ
Address: 5047 N A1A APT1202
Company_ COMPLETE ELECTRIC INC
City: HUTCHINSON ISLAND State: FL
Zip Code: 34949 Fax:
Phone No. 206-819-9095
Address: 637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 32958 Fax: 772-388-2411
Phone No. 772-388-0533
E-Mail: randyrrankin@gmail.com
Fill in fee simple"Title Holder on next page (if different
from the Owner listed above)
E-Mail: mskelley@rompleteelectricinc.com
State or County License: EC0001911
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: x
Name:
Not Applicable
MORTGAGE COMPANY: x Not Applicable
Name:
Address:
Address:
City:
Zip: Phone:
State:
City:
Zip:
State:
Phone:
FEE SIMPLE TITLE HOLDER: x
Name:
Not Applicable
BONDING COMPANY: x 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 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
S
_ Signature of Owner/ Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST LUCIE COUNTY OF—LUCIE
The fg{going instr m t was ackno�yledged before me The forgoing instrument was acknowledged efore me
this � day of Y A (A,l/; , 20 Eby this 13 day of FEBRUARY 20 a by
GARETT GUIDRIZ!iZ GARETT GUIDROZ
(Name of person acknowledging) (Name of person acknowledging )
n
(Signatu ke o otary Public -State of Florida) (Signatut a of tary Public- State of Florida )
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. FF901564 Commission No.
o�NY °�°ems Notary Public State of Florida --
a°ate--Notary, Public State .otElorida_ —
Revised07/15/2014 �OiMOp Expirrs0911912019
Expires 09/19/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS