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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: C"I-(ff/ /
__.. .. _... '_... '.__ RECEIVED
Building Permit Application
Planning and Development Services JAN 2 7 2020
Building and Code Regulation Division Pe [)apartment
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucle County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator III
Address: 7666 Greenbrier CIR
Legal Description: POD 19 PUD II GREENBRIER (PB 41-5) LOT 41
Property Tax ID #: 3322-700-0046-000-1
Site Plan Name:
Project Name: Humphreys, Richard
Setbacks Front r Back: �3 t Right Side: ` �3 .. � g � Left Side:
Supply and Install a 22KW Generator with (1) 150amp Automatic Transfer Switch
11HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction: 2156
Cost of Construction: $ 9590.00
Lot No.41
Block No.
Jerrmr — LneLK du
LLLQI
apply:
Sas Piping
Shutters
Windows/Doors
Sprinklers
FI
Generator
1:1
Roof = Roof pitch
S Ft. of First Floor: _
Utilities:llSewer Septic
Building Height:
OR* CRY SSEE:
CONTRACfOtt.
Name Richard J Humphreys
Name: Sam Crane
Address: 7666 Greenbrier Cir.
Company: Sam Crane Electrical LLC
City: Port St. Lucie State: FL
Zip Code: 34986 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 $2500 or more, a RECORDED Notice of Commencement is required.
ALICop WAR 7O LIFNtA INFOR,MATION':
SUPPLEMENTIN
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 vour Notice of Commencement.
S
Signature of wne ssee/ ntractor as Agent for Owner Signature of Co tractor/License lkw
STATE OF FLORIDA. filSTATE OF FLORIDA M ay�i
COUNTY OF ar-ViY� COUNTY OF
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this _a}day of --J'0Ln09q 20 agby thiso2- day of 20 &1 by
lc�zl_ CPav�e_
(Name of person acknowledging) (Name of person acknowledging )
�• 'lJli.,Cx., �nY� .
(Signature of Notary Public- State of Florida )
Personally Known —y—OR Produced Identification
Type of Identification Produced
Commission No. 679 3q (Seal)
(Signature of Notary Public- State of Florida ) .,
Personally Known < OR Produced Identification
Type of Identification Produced
Commission No. % Q (Seal)
Revised 07/15/2014 tar y Public -State of Florid
Ey Commission # GG 938839
REVIEWS
FRONT
COUNTER
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cember 11, 202
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REVIEW
VEGETATION
REVIEW
SEA TURTLE
REVIEW
MANGROVE
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS
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