HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05107/20 Permit Number-
limp
Building Permit Application
Planning and Development Sennkrs
Building and Code Regulation F hgmon
2300 Virginia Avenue, Fart Pier€e Ft 34
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Generetor Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1548 NW Sweet Bay Cir., Palm City, R 34998
Property Tax ID #: 4426-8034)G40-000-7
Site Plan dame: Wallrath
Project Name: Generator installation
J DETAILED DESCRIPTION OF WORK: I
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit --check all that apply:
—Mechanical _ Gas Tank _ Gas Piping — Shutters Windows/Doors
_ Electric — Plumbing _ Sprinklers _ Generator hoof Pitch
Total Sq. Ft of Construction:
Cost of Construction. $ 11,275.00
Sq- Ft. of First Floor;
Utilities: _.Sewer — Septic Building Height:
OWNER LESSEE:
CONTRACTOR:
Name Dennis M. Wallrath
Name:Janies Reisner
Address: 1548 NW Sweet Hay Cir.
Company Jim Reisner EleMr_, I_EC
Ci ty: Palm City State:
Zip Code: 34990 Fax:
Phone No.561-379-7679
Address:4886 SW Homy Terrace
City- Palm City State_Fl
Zap Cade. 349N Fax -
Phone N0772-2W2M7
E -Mail: denniswallrath c@9mail_com
Fill in fee simple Tile Holder on next page (if d idferent
from the owner rmted alb)
E -Mail jarnMreiSn so"d'-net
State or CGUMY License EC 2442
If value of construction is $25W or none, a RECORDED Notice of C;ornmente0lent is requwea.
if value of HVAC is $7,500 or mare, a RECORDED Notice of Commencement its mired.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNERANGIIIIEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Name-
Name:
Address:
Address:
Cit}: State:
City: State:
Zip: Phone
zip: Phone:
FEE SIMPLE TITLE HOLIER: _ Not Applicable
RIDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip- Phone:
OWNER/ CONTRACTOR AFFIDVLT: Application is hereby made to obtain a permit to do the work and installlation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit_
St_ I_uc!e County makes. no representation that is granting a 1perarrit will authorize die nnit huk9er tai bund the subject streuctuue
which is in conflict with any applicable Horne Owners Association rubes, bylaws oT and unveriants that may resorict or prohibit such
structure • Please consult vinth your Home Owners Association and review your deed for any restrictions which May ao*-
In consideration of the granting of this requested permit, I do hereby agree than I will, in all respects, perform the *smirk
in accordance with the approved plans, the Florida Building Codes and St_ Lucie County Amend
The following building permit applications are exempt from undergoing a full coricur ncy rev%aew.- room additions,
accessory structures, swimming per, fences, walls, signs, screen rooms and accessory eases to another non-reskkiitial use
`WARMING TO OWNER: YOUR FA■ tRE TO RECOM A NOTICE OF MAY RESULT N YOUR PAT IG
TWICE FOR IMPROYEWIENTS TO YOUR PROPERiY_ A NOTKE OF MUST BE RECOINIED Alter
POSTED ON THE JOB SITE BEFORE THE FRIS1 WSPECF1101111L F YOU WFIS D TO OBTAIIN FiNXKNW-, CGNSMT
WFll UR LENDER OR AN ATTORNEY BEFORE RECORDBYG 1 OF .'�
L
Sign a of Owner essee/Contractor as Agent for Owner Sig cure of Contrictor/License Holder
YrkTE OF FLORIDA n ATE OF F1 IDA ( ;
t �l COUNTY OF I' k" f
COUNTY OF ! tC�.r _
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before true
this 8 �-L day of f2!L,c.'u�.._._; 20,2D by this I 'day of,, - 1, _ . 2CQ -0 by
U L _� + y r L P n jP
Name of person making statement_ Name of person making statement
Personally Known �/ OR Produced identification Personally Known� OR Produced Identification.
Type of Identification Type of Identification
Produced Produced
(Signature of Nota Public- State f l re of Nom -
rlr MY GOMM4SSION # SSION # GG041885
/ - ` ': Y r, x'' a'F. �t ombear 15.2411211
f� `G M EXPIRES t?ecernbe 1 2020. _ L� �iP,� 4
Commission No_ G ``fill (, o� l� ipr No.. C7' pt
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