HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/23/2018 SCANNED PermitNumber: &2-0(DIL
BY
St. Lucie County
_CF eD
Vic _W
Building Permit Application Sip' 14, 70
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. L.UCIC countv
verm"'Ang Department
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Residential
I PERMIT APPLICATION FOR: Electrical FIP-1 I I I
Address: 3870 N HWY AIA UNIT 201, N HUTCHINSON ISLAND, FL 32949
Legal Description: HIBISCUS -BY -THE -SEA CONDOMINIUM BLDG 1 UNIT 201 (OR 3762-1286; 3762-1
Property Tax ID #: 1423-805-0005-000-8 Lot No.
Site Plan Name: H &.A14 Block No.
Project Name: NIKKI HAAN
Setbacks Front Back: _ Right Side: Left Side:
WIRE TANKLESS WATER HEATER IN CONNECTION WITH PERMIT 1807-0604
[JHVAC LJ Gas Tank
RJElectric El Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 685.00
Piping UShutters Windows/Doors
nklers 11 Generator Roof = Roof pitch
S, Ft of First Floor:
Utilities.11 Sewer 1:1 Septic
Building Height:
f C_ 0 4-IT-1 R N
mab..1401 -, I i i I � � I
NameGregory Osbome & Niki Haan
Name: GARETT GUIDROZ
Address:3870 N Highway AIA Apt 201
Company: COMPLETE ELECTRIC, INC.
City: Hutchinson Island State:FL
Zip Code: 34949 Fax:
Phone No.631-428-2245
Address: 637 SEBASTIAN BLVD
City: SEBASTIAN State: FL
Zip Code: 32958 Fax. 772-388-2411
Phone No. 772-388-0533
E-Mail:
Fill in fee simple'ritle Holder on next page (if different
from the Owner listed above)
E-Mail:.mskelley@completeelectdcinc.com
State or County License: ECO001 911
It value at construction is 9Z500 or more, a RECORDED Notice at Commencement is required.
U
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY:
Not Applicable
Name�
Name -
Address
Address:
City:
State:
City: I State:
Zip: _ Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
_NotApplicable
BONDING COMPANY:
Applicable
Name:
Name:
—Not
Address: 637 SEBASTM SLW
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 ermit holder to build the subject structure
which is in conflict 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.
Sign-a-M-re-o-TO—wner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OFsTuuclF
COUNTY OFSTLUCIE
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 23 day of AUGUST .26JO by
this 23 day of AUGUST 26LG by
C4iilli
Name of pe�son making statement
Name of pe�rson making statement
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
LOA
Produced
- - - - - -
(Signature of Not ry ublic- op 0 i
ignature of N a T ol FOnda
0 r U "C_ at P Sa
�dou:,,Ireid
Ot ry Public Stale of Florida
CU ow N a
a
�FFSOIP564
Commission hHatliLld
Commis! 4
lonFFI)01564
mmission No. im FF
- q 901564
Expires 0911912015
d_-
E x". 9/19/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17