HomeMy WebLinkAboutbuilding permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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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: Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 639 SE HIDDEN RIVER DR
Legal Description: HIDDEN RIVER ESTATES BLK 1 LOT 6 (OR 4010-2722)
Property Tax ID#: 3427-701-0007-000-1 Lot No.6
Site Plan Name: Hidden River Block No. 1
Project Name: Tauscher
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install interlock kit for generator use
CONSTRUCTION INFORMATION:
Additional work to be nertormedunder this permit—check all apply:
[1HVAC LJ Gas Tank Gas Piping Shutters a Windows/Doors
ZElectric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: 4654 S Ft.of First Floor:
Cost of Construction: $ Utilities:Cn Sewer E]Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name Mark Tauscher Name: Donald B Green
Address:639 SE Hidden River DR Company: Don Green Electric
City. Port St Lucie State:FL Address: 1305 W 1 st Street
Zip Code: Fax: City: Fort Pierce State:FL
Phone No. Zip Code: 34982 Fax:
E-Mail: Phone No. 772-418-5739
Fill in fee simple Title Holder on next page (if different E-Mail: dongreenelectdc@gmail.com
from the Owner listed above) State or County License: EC13007447
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x 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 our Notice of Commencement.
s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA j�7 , � STATE OF FLORIDA 1
COUNTY OF t" �, COUNTY OF N
The forgping instrument was acknowledged before me The forgoing instrument was acknowledged before me
tt i[QL&Sy of Qom-( 20 0. by this 26th day of March 20 1jf by
Donald B Green Donald B Green
I
of son a kno a ing) (Na e o ledging)
(Si at of Notary Public-S o to of Florida) (Signs ure of f ry Public--state o Flo da)
Persona Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. JOYCHRISp4PELAND Commission No. 1 "nyea JOYCHRISI1NECOPELAND
_�`''"' � MY COMMISSION#FF948042 COMMISS0948042
EXPIRES:JAN 05,2020 EXPIRES:JAN 05,2020
!� Pondel through 1st state nsu Insurance
Revised 07/15/20 F ����, --'-"`"
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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INITIALS