HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ]]
Date: 4/20/2015 Permit Number:� L` 1 7 1—
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Building Permit Application RECEIVED
Planning and Development Services i1AV
Building and Code Regulation Division MAY 3 2015
2300 Virginia Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
Address: 3823 ST. MARKS DRIVE, FT. PIERCE, FL 34982
Legal Description: ST JAMES PARK BLK 5 S 40 FT OF LOT 12 AND N 40 FT OF LOT 13(OR 3476-2810;3667-1455;3668-1782)
Property Tax ID#: 2434-501-0069-000-8 Lot No.12& 13
Site Plan Name: MARIA ANA VEGA Block No. 5
Project Name: VEGA RESIDENCE
Setbacks Front Back: Right Side: Left Side:
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200 AMP SERVICE CHANGE
MRS
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Additional workto a er orme un er this permit–check a appy:
0HVAC 0 Gas Tank ❑Gas Piping _Shutters Q Windows/Doors
RiElectric F]Plumbing Sprinklers E]Generator Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1,300.00 Utilities:Sewer F]Septic Building Height:
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Name MARIA ANA VEGA Name: GARETT GUIDROZ
Address:2823 ST MARKS DRIVE Company: COMPLETE ELECTRIC, INC.
City: FT PIERCE State:FL Address: 637 SEBASTIAN BLVD.
Zip Code: 34982 Fax: City: SEBASTIAN State:FL
Phone No.772-924-4239 Zip Code: 32958 Fax: 772-388-2411
E-Mail:vegarodrigo19@hotmail.com Phone No. 772-388-0533
Fill in fee simple Title Holder on next page(if different E-Mail: mhatfield@completeelectricinc.com
from the Owner listed above) State or County License: ECO001911
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: _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:
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.
Z;::: — ----- ------- s
Signature of Owner/Lessee/Agent Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY Of COUNTY OF INDIAN RIVER
Thefoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this u day of AAa� 20 Eby this 20 day of APRII 20 _by
VLGARETT GUIDROZ
AAar�-A- Ana- -✓ /'1
Name of person acknowledging) ng) MO-F C25to I
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{Signa u7e—oft Public-State of Florida (Signature of Nota rf Pub'c-State of Florida)
Personally Kn(7— OR Produced Identification Y Personally Known x OR Produced Identification
Type of Identification Produced_FLS L .. Type of Identification Produced
Commission No.e 150F Commission No. EE`10487oyer NANe.!N���-
P Notary Public State of Florida 0,F�ty P(
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Notary Public State of F orida
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Expires 09.11912015 or Expires 09/19/2015
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