HomeMy WebLinkAboutapplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 16,11_1V11-6 Permit Number:
e I RECEIVED
Raw I Building Permit Application JAN 2 ?020
Planning and Development Services j
Building and Code Regulation Division ST? Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 I
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial X Resideritial
PERMITTVPE: Low Voltage -structured cabling
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PROPO ED:IIVIPROVI M €I O`CATION "
Address: 3206 Enterprise Rd., Ft. Pierce, FL 34982 !!
Property Tax ID #1: 2428-502-0041-000-0 f Lot No.34/35
Site Plan Name: F Block No.
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Project Name: !
Install Cat6A network cable for Network Access Points. 6 Interior and 7 exterior.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters I Windows/Doors
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_ Electric _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 18,835.00
)
Sq. Ft. of First Floor:
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Utilities: _Sewer _Septic Building Height:_
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OWN4iJiESSE£sfi �. IEIiI
?�� .
CONTRA O a.:
NameSilver-Line Plastics
Name: Kenneth A. Geremia, Jr. I
Address:900 Riverside Dr.
Company:Gerelcom, Inc.
City: Ashville NC State: _
Zip Code: 28804 Fax:
Phone No.
Address:560 NW Enterprise Ur.
City: Port St. Lucie I State: FL
Zip Code: 34986 Fax: 772-340-3666
Phone No772-201-0434 E
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail blanham@gerelco.coml
State or County License EC13001659
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If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
C,o.df
DESIGNER/ENGINEER:
x Not Applicable
MORTGAGE COMPANY:X
Not Applicable
Name:
Name:
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Address:
Address:
I.
City:
State:
City:
I State: _
Zip: Phone
Zip: Phone:
t
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FEE SIMPLE TITLE HOLDER:
Not Applicable
BONDING COMPANY:
iX Not Applicable
Name:
Name:
r
Address:
Address:
'
City:
City:
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Zip: Phone:
Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
certify that no work or installation has commenced prior to the issuance of a permit. i
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St. Lucie Count�yy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in convict 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.
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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 n-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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMED(CEMRNT."
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Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/Licens H I er
STATE OF FLORIDq
STATE OF FLO D
COUNTY OF .' f /emu u t
COUNTY OF Gu 1 L=
The f r o_ipg instrugnent was acknowledged before me
(-by
The fo ng instru ent was acknowledged before me
J�xx� 200 by
this day of �n G �t 20c2_.
thiTkay of 5
f:it,b(i.O N.J\..". !'UZ; �., t'�'I0. , J'(- -
2�V1 !v<'. v.��•'M', �r
Name of person making statement.
Name of person making statement.
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Personally Known —� OR Produced Identification
Personally Known v OR r dLlge I entifcation
Type of Identification
Type of Identification .;;.:,�.CHRISTEN AURAE AAERTENS
Produced e•.. CHRISTEN AURIE AUERTENS
Produced '+°•----�': Notary Public - State of Floric
o ary Public - Stale of Florida
�e' Commission A GG D9169
�' Y P Y
As Comm. Ex ires ma 28, 2023`Y'r[
E-a
I'A p1 Commission r GG 339169
,� //��/)`'?or f`° F1 Camm. Ex ires Ma 28. 20
(� Y a (/ /• l .Banded through Ntional Notary As;
onded lhrou h National Nota Assn.(Signature
JL4.-r.�-la-G-✓-'—
of Notary Publ Of I-10FICid I
(Signature of Notary Pbblic- State of Florida )
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Commission No. 1 � 7 (Seal)
Commission No. ik",M—a a2.3 (Seal)
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Rev.2/7/19