HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I hi rj i Dlf C
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Date: SCANNED Permit Number:
BY
St. Lucie County
- Mgyls
Building Permit Application Perri lots
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Planning and Development Services St p
Lae o�
Building and Code Regulation Division ent
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 4551 St. lucie Blvd, Fort Pierce, FL 34946
Legal Description: The Northwest 1/4 of the northeast 1/4 of section 31, township 34 south, range 40 east
less the north 98 feet lying in St. Lucie county, flordda.
Property Tax ID #: 1431-121-0000-000-6 Lot -No.
Site Plan Name: Block No.
Project Name: Maverick Boat Manufacturing Parking lot lighting
Setbacks Front25 Back: 20 Right Side: 10 Left Side: 10
DETAILED DESCRIPTION OF WORK:
Parking lot lighting
CONSTRUCTION INFORMATION:
Aaclitional worK to De enformed under tispermit—c ec a apply:
❑
❑HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
RIElectric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof ❑ Roof pitch
Total Sq. Ft of Construction: SFt of First Floor:
25,000.00 ❑ Height:
Cost of Construction: $ Utilities: Sewer Septic Building
OWNER/LESSEE:
CONTRACTOR:
Name Maverick Boat Company
Name: Garett Guidroz
Address:3207 Industrial 29th Street
Company: Complete Electric Inc.
City: Fort Pierce State: FL
Address: 637 Sebastian Blvd
City: Sebastian State: FL
Zip Code: 32946 Fax:772-489-2168
Phone No.(888) shallow
Zip Code: 32958 Fax: 772-388-2411
E-Mail:www•bcboats.com
Phone No. 772-388-0533
Fill in fee simple Title Holder on next page (if different
E-Mail: chris.loftus@completeelectricinc.com
State or County License: 0001911
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Si nature o Owner/ Lesr see Ho 'ctn�7r.a' aggntfor O4vher
Sienature of'C'ontracfo'r/License'Halder,
STATE OF FLORIDA
COUNTY OF P O lj c a
STATE OF FLORIDA
COUNTY
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1 S day of P11 a u 2018 by
this 15 day of � 20J$ by
Loewe Q• �JiLt(O?i
6ezre �• -y�eLro2
Name of person 5aWng statement
Name of persop making statement
Personally Known OR Produced Identification
Personally Known ✓ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Sig a ure of Nota Public- State o lorida)
(Sign ure of Nota Public- State of rida )
Commission No. .••°����•-. CYN
Commission No. .••^M.....•. YNTHIA B. N(td
'.-
ti :r MY COMMISSION7r12
i __ MYCOMMISSION SFF2i8742
'�'�= EXPIRES: June
...•a�'
�'a EXPIRES: June 17, 2018
y""' Banded Thmw Pub6e Undenmters
REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17