HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: a O,o • O �� O
RECENED
._ _- JAN271010
Building Permit Application
Planning and Development Services permitting Department
Building and Code Regulation Division
St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Generator III
Address: 113 Island Dunes CV
Legal Description: LAS TORTUGAS AT HUTCHINSON ISLAND (PB 44-5) LOT 6 (OR 3495-1
Property Tax ID #: 3534-503-0007-000-2
Site Plan Name: Ivany Residence
Project Name: Ivany Residence
Setbacks Front47 Back: 198 Right Side: 120 Left Side: 5
Supply and install a 22KW Generator with (1) 100amp Automatic Transfer Switch
0HVAC IJ Gas Tank
❑✓— Electric 0 Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 7500.00
Lot No. 6
Block No.
Sas Piping
0Shutters
❑
Windows/Doors
Sprinklers
liGenerator
E]
Roof
=
Roof pitch
S FtFt.� of First Floor: _
Utilities: lJSewer Septic
Building Height:
®DIVER/LESSEE
Ca1Vl R a,; _bA "
Name Robert R Ivany
Name: Sam Crane
Address: 8650 S Ocean Dr., Unit APT 403
Company: Sam Crane Electrical LLC
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
Address: 3324 SE Gran Park Way
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-223-8865
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: samcraneelectric@yahoo.com
State or County License: EC0001986
if value of construction is ,izsw or more, a RECORDED Notice of Commencement is required.
SUPFLEMEN7AL # N EN to INPOR
ATION.
III,GONS'RU
DESIGNER/ENGINEER: _ Not Applicable
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 Countyy 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
commencine work or recordine vour Notice of Commencement.
Signature of Owner Lessee/Co ctor as Agent for Owner
STATE OF FLORIDA I STATE OF FLORIDA
COUNTY OF moeI 1 � COUNTY OF Mail in
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this�dayof cc 20 10by this]:V3dayof70")C&M 20 2Dby
(Name of person acknowledging) (Name of person acknowledging )
of Notary Public- State
Personally Known —)�J— OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
11
938839
`PC.,�d�
((Signature of Notary, Public- State of Florida )
Personally Known 1vOR Produced Identification
Type of Identification Produced
Commission No.
Commission # GG 938839
11
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