HomeMy WebLinkAboutBuilding Permit App1alk 1i f f 1M7 7f
Bate: X120
COU T f
Planning and Development Sen& -
Building and Code Regulate - -
2300 VirginiaAvenue,Fart Pwrm F1.4
Phone. (772) 462-1553 Fax (772) 462-1578
Fewipik niilg fY::
Building Permit Application
Commercial Residential X
PERMIT TYPE:Generator Electrical
PROPOSED IMPROVEMENT LOCATION:
Address: 1808 NW Butionbush Cir., Palm City, FI 34990
Property Tax ID #: 442642 Lot No.
Site Pian game: Greenho Block No.
Project Name: Gre+enho
DETAILED DESCRIPTION OF WORK:
Install a new 22KW Gene ac genemtor with a 2WA transfer swfth an a new Pmfab N=kam rated GeoPa3.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit – cheek all that apply:
Mechanical Gas Tank _ Gas Piping Shutters
Electric _ Plumbing — Sprinklers k Generator.
Total Sq. Ft of Construction:
Cost of Construction: $ 6Q, 6
Sq. Ft. of First door_
_ Windows/Doors
Roof Pitch
utilities: —Sewer —Septic Building Height.
OWNERf LESSEE:
CONTRACTOR:
Name Carolyn B. Greenho
Address-. 1808 NW Buttonbush Cir.
Name:James Reisrwr_
Company -.Jim Reisner Ekx;tfic, LLC
City: Palm City State:
Zip Code: 34390 Fax
PhoneNo_860-304-1281
Address -48M S1 y Terrace
City: P City State -.Fl
i Zip Cade: 34990 Fax
Phone No 772-28&2947
E -M ail: lynngreenho c@yahoo-c om
Fill in fee simple Title Holder on next page [ if different
frame the Owner listed awe)
E-Mtail jamesreisn Isouth.net
State or County License EC -0002442
if value of construction is $25W or more, a RECORDED Notice of Commencement is requWed.
If value of HVAC is $7,500 or mare, a RECORDED Notice of Commencenumt is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEERS Not Applicable
Dame:
Address:
City: State:
Zip: Phone
MORTGAGE COMPANY: Not Applicable
Name:
Address:
City: State:
Zip: Phone: i
FEE SIMPLE TITLE HOLDM— Not Applicable
Name:
Address:
BONDING COMPANY" Not Applicable
Name:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT_ Appplica n is herby made to obtain a permit to deb the mmw k and kmza ationn as InndicaWd_
I ceri fy that no work or installation lovas commence prior to the issuance of a permit..
St. Lucie Courtmakes no represent3fian dial is g jnht rng a permit will audm&e tune it W Id ttlne
which is in conflict with any applicable Home Owners As tion rule bylaws ora it
that may tresUict or prohibit such
structure- Please consult with your Home Owners Association and review your deed for any restrictiom *higJh mW apply-
In
pplyIn consideration of the granting of this requested permit, I do hereby agree that I ewill, in all respects, perforin 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 mien -residential use
"WAR'IIRIMG TO OITNBL YOUR FA■AM TO RMORD A NOTICE OF MAY RESULT N YOUR PAYNG
TWICE FOR IMPROYEIIIENiS TO YOUR PROPERTY A NOTICE OF IiIUST BE RECORDED AIS
POSTED ON THE JOB SFFE BEFORE TIF T>ISiF SIL F YOU ■INTEL TO OBTAN FNAIIICI Kft COIILWT
'wMH 'POINT LENDER OR AN ATTORNEY BEFORE 913WEEM YOIM INOTKE OF '°
C
o ctor/Ucense Holder
Signatu of Owner/ Lessee/Corrtractor as Agent for Owner=LORIDA
STATE OF FLORIDA
COUNTY OF i�G! + _
COUNTY OFG
The forgoing instrument was acknowledged before me
The mdaument was aclawwledged before me
this _-day of i/ a1G . 20_aQ by
ldhis, of �dr„� 2Q➢➢ d�+C) by
/JCC
Name of person making statement..
� Name of person making statement -
Personally Known OR Produced Identification
Personally Known 4-� OR Produced) Idenfification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida)
n Ilii l.I.IIA
Commission No. Gt6— v k %(Se
�or�arnission Men_ 6 fa ,.� �T i t I�CIANO
My COMMISSION # i; 0
tiff ,Q9N i55I0N # GG�34f8
1865
EX
;o.e , rXPIRES Dacem
REVIEWS
FRONT
VEGETATION
SEATURTI_E
MANGROVE
ZONING
COUNTER
REVIEW
REV11EFWW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev- 217119