HomeMy WebLinkAboutBuilding Permit Application I�
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ALL APPLICABLE iNFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 512012016 Permit Number:
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Building Permit Appticatio MAY 2 0 2016
Planning and Development services
80dingl and Code Regulation Division .�
2300 Vk*nia Avenue,FDR Pierce FL 34982 t
Phone:'(772)462-2553 Fax:(772)4.62-IS78 Commercial B identlal x �'
PERMIT APPLICATION FOR: Electrical
Address: X206 Fort Pierce Blvd.
Legal Description: LAKEWOOD PARK-UNIT 8-BLK 93 LOT 10(MAP13102N)(OR 2963-929)
Property Tax ID#: 1301-608-0139-000-6 Lot No.
Site Plan Name: Block No,
Project Name: CLARA E. IGL AUER
Setbacks Front Back: Right Side: Left Side:
1.1111 In I —
EMERGENCY MAST REPLACEMENT
tttona Iwor to a
me
un er t s permit c ec a app yc
1JHVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
�Electlric ❑Plumbing Sprinklers Generator Roof
Total Sq.Ft of Construction: S .Ft.of First Floor:
Cost of Construction:$ O � Utilities: Sewer l((``J5eptit Building Height:
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NameCL.ARA E. IGLAUER Name: GARETT GUIDROZ
Address:82b6 FORT PiERCE BLVD_ Company: COMPLETE ELECTRIC, INC.
City: FT.PIERCE State:�L Address: 637 SEBASTiAN BLVD,
Zip Code: M951 Fax: City: SEBASTIAN State:FL
Phone No.7172-473-6428 Zip Code. 32958 Fax: 772-388-2411
E-Mail: I Phone No. 772-3$8-0533
Fill in fee sir IhPle Title Halder on next page(if different E-Mail: mhatfield@completeelectdcino.com
from the O i ner listed above) State or County License: EC0001911
If value of coistruction is$2500 or more,a RECORDED Notice of Commencement is required.
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IDESIGNERfENGINEER: _Not Applicable MORTGAGE COMPANY: Not Applicable
Name: Name:
Address• Address:
II _. .
ZipPhone 1 State' City: State:
Zip: Phone:
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FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable
Name: Name.
Address Address:
city: I City.
Zip: Phone: Zip: Phone.•
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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 ail respects,perform the work
in accordance with the approved plans,the Florida Building Codes and St.Lucie County Amendments.
The k 1lowin�g 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
commenci ng work or recording our Notice of Commencement.
Signature;f Owner(Lesm Agen Signature of Contra ctor/Ucense Holder
STATE OF FLORIDA TATE OF FLORIDA
COUNTY I F ?�____LLk C.t.a COUNTY OF sr kv=
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
'this ' Os day of I Al 20 i�Lby this 20 day of w`Y .20 ko by
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GNIOrrIFUIDROZ
{Name of person ticknowledging} Name of person acknowledging)
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(Signature ZT,Not P Iic-State of Florida) (Signature of No P blic-State of Florida)
Personally Known OR Produced identification Personally Known x OR Produced Identification
Type of Identi)icatioon Produced Type of Identification Produced
Commission No.PkIDW.3to EA sslon No.Fr-W5"
N ria stale of Raide
Notary PWfiiG State of McAdb ltialwd
mucommissloa f 901564
Revised 47�25l2Q14 my Commission FF 91H1Ba a,a Expites 091119=1
ora sJoreS49119019
REVIEWS I FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REViEW REVIEW REVIEW
DATE
COMPLETE
INITIALS
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