HomeMy WebLinkAboutBuilding Permit Application 08/04/16 03;51 PM CompleteElect 7723882411 Page 1
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: 81412016 Permit Number: U
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Building Permit Application AUG 0 4 201E
Planning and Development Services PER ITTING
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax:(772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical 0
Address: 8106 COQUINA AVENUE
Legal Description: LAKEWOOD PARK-UNIT 8-BLK 92 LOT 10(MAP13/02N)(OR3827-2192)
Property Tax ID#: 1301-608-0113-000-8 Lot No.10
Site Plan Name: Block No.
Project Name. GLORIA BOZZINI
Setbacks Front Back: Right Side: Left Side:
200 AMP PANEL CHANGE
E 019
R!dHVACor
ona wto 0GOasTank
rme un er t�pGas ermit—c ec a appyPiping _Shutters ❑Windows/Doors
RJElectric 0 Plumbing Sprinklers In Generator Roof
Total Sq.Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 1225.00 Utilities:]Sewer 0Septic Building Height:
NameGLORIA BOZZINI Name: GARETT GUIDRCIZ
Address:8106 COQUINA AVENUE Company: COMPLETE ELECTRIC, INC.
City: FORT PIERCE State:FL Address: 637 SEBASTIAN BLVD.
Zip Code: 34951 Fax: City: SEBASTIAN State:FL
Phone No.954-392-5566 Zip Code: 32958 Fax: 772-388-2411
E-Mail: Phone No. 772-388-0633
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: EC0001911
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
08/04/16 03:51 PM CompleteElect 7723882411 Page 2
PSIGNMERIEENGNINEMEW.MoMNOtAMpplicableM 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 ahermit 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 accessary 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 our Notice of Commencement.
_Signature of Owner/Lessee/Agent Signature o Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF ST.LUCIE COUNTY OF sT.Luc1E
The forgoing instrument was acknowledge before me The forgoing instrument was acknowledged before me
this day of)l jl„ 20 �by this°day of Aucusr ,ZO by
GA M GUIDR02� tJ GARETT GulDROZ
(Name of person acknowledging) (Name of person acknowledging)
Q'D
(Signature of NPublic-State of Florida) (Signature of Not ublic-State of Florida)
Personally Kno r�x OR Produced Identification Personally Kno x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. IFFaoissa (Seal) Commission No. FF 20+584
�'► Notary Putft Slate of Florida
State of Florida
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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