HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ''\ 1 �1 1aa Permit Number: a�4I —43 aS
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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Building Permit Application
Commercial
PERMIT TYPE: Electrical
PROPOSED IMPRO,UEMENT LOCATION. .,
Address: 5304 San Diego Ave. Ft Pierce, FL. 34946
Property Tax ID #: 1431-702-0021-010-8
Site Plan Name: _
Project Name: Wilson Generator
JAN 17
DETAILED DESCRIPTION OF WORk:
,..
Install 22 KW Propane gas powered back up generator with 100 amp automatic service transfer switch
Lot No.
Block No.
CONSTRUCT ION INF,ORMATION:'
'N
Additional work to be performed under this permit —check all that apply:
__Mechanical _Gas Tank- _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing —Sprinklers _ Generator _ Roof
Total Sq. Ft of Construction:
Cost of Construction: $ 5,200
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Pitch
,OWNER/LESSEE: -
:CONTRACTOR
Name Dorothy Rhyant and Kevin Wilson
Name: Marcope, LLC Mark Cross
Address: 5304 San Diego Ave
Company: Marcope, LLC
_
City: Fort Pierce State: _
Zip Code: 34946 Fax:
Phone No.
Address: 5818 Lyda Ln.
City: Orlando State: F1
Zip Code: 32839 Fax:
Phone No 4078325239
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
,E-Mail Permitting@marcope.com
State or County License EC13001174
It value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL.CONSTRUCTION LIEN 1AW INFORMATION:
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:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 T SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YO R VNDER O AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature ontractor/License Holder
r/ Lessee/ ntrac r as Agent for Owner
t
ATE OF F 0 11
STATE OF FLORIDA
COUNTYOF�QQ/
COUNTY OF
The forgoing instrument was a knowledged efore me
b�
The
The fo oing instrument was acknowledged before me
this 34 day of 20 by
tt of innQrc— 20'/.(%by
Name of person making statement.
Name of person making statement.
/
Personally Known OR Produced Identificati^n v _
Personally Known v OR Produced Identification
Type Iden 'fication
Type of Identification
Pro d !'-
Produced
• VARINIAeENNES
�"- No Public -State of Florida
Commission o GG 128722
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( ignature of Notary P bt-
(Si atur of Notary Public St of Flon a )
Commission No. al (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION `
SEATURTLE
vMANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///17