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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 6/IV015 Permit Number:
RECEIVED JUN'2 3 Zile
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator ',';
F'RQPflSD11'RQt/>*M, NT I.aCATION ;L
Address: 6703 PENNY LANE, FT. PIERCE, FLORIDA 34951
Legal Description: GENERATOR INSTALLATION
Property Tax ID#: 1301-611-0242-000-1 Lot No.12
Site Plan Name: Block No. 111
Project Name: DART GENERATOR
Setbacks Front Back: Right Side: Left Side:
DETAILEbi CRIPTI(? OF 1IV�RK �r
INSTALL 16KW GENERATOR AND 200 AMP TRANSFER SWITCH
CONTRUCTIflN INF 'Rl!(ATIQN
.,,irs i..N mgr.. n, v-.�- Ji,••+z ,;:�.u+' :u.n:. ,Ja
Additional work to be pertormed under this permit—c eck all appy:
HVAC Gas Tank ❑Gas Piping In Shutters ❑Windows/Doors
®Electric ❑Plumbing Sprinklers OGenerator Roof
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 8,700.00 Utilities:Sewer 0 Septic Building Height:
�tWIIER/LESEE , C(" ITRAG { R `RR � i p711
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Name WILLIAM H. DART&LAUREIN C. DART Name: GARETT GUIDROZ
Address:6703 PENNY LANE Company: COMPLETE ELECTRIC, INC.
City: FT. PIERCE State:FL Address: 637 SEBASTIAN BLVD.
Zip,Code: 34951 Fax: City: SEBASTIAN State:FL
Phone No.(772)465-3914 Zip Code: 32958 Fax: (772)388-2411
E-Mail: Phone No. (772)388-0533
Fill in fee simple Title Holder on next page(if different E-Mail: mmacleary@completeelectricinc.com
from the Owner listed above) State or County License: EC0001911
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
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SUPPLEiVIENThLCONSTRU �IC1N LSE LAW INORMATION � � 4 `
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 ain financing, consult with lender or an attorney before
commencing work or recording our,N6tice of C67MMencement.
s
_Signature of Owner/Less a/Agent Signature of Contractor/License Holder
STATE OF FLORIDA /� /� STATE OF FLORIDA
COUNTY OF CI -• �VIL�I ly COUNTY OF INDIAN RIVER
The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this)-:6 day of ,)�1 If 2015 by this t1 day of au"E 20 15 by
1�1
1 GARETT GUIDROZ
Name of person acknow edging) (Name of person acknowledging)
(Signature of No P blit-State of Florida) / (Signature of Norry blit-State of Florida)
Personally Known OR Produced Identification V Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No.EE(Dl 87R (Seal) Commission No. EE104879 „� � e�'�
,Y p� Nota Pub I State of Florida
t.+' +;/`tePy.°Frd;"ta `'�athYr��s'""4'''':.i''"',�s't,''+•�.'. Q�0' ��
Mandell Hatfield
Qtip�•pGFG Notary pi,iollr 71ate 'v,u >' _ 1D4878
Revised 07/15/2014 4Maridoll Hatfield
a r" 'res OSl1912015
My Corn.mission EE104878
'� 04
Expires 09119120.5 y
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS