HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETEISFOR APPLICATION TO BE ACCEPTED
Date: Permit Number: l ��
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
1300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Generator, Residential
PROPOSED IMPROVEMENT LOCATION:
Address: 1651 NW Sweetbay Cir., Palm City,FI 34990
Property Tax ID #: 4426-803-0062-000-7 Lot No.
Site Plan Name: Miller
Project Name: Miller Residence
Block No.
DETAILED DESCRIPTION OF WORK:
Install anew 22KW liquid cooled,1800 RPM protector seders Model #RGO2224ANAX generator on a new,IGWO'x8" Nick pad with a 200A transfer switch.
I CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
_ Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 14,380.00
_ Gas Piping
_ Sprinklers
_ Shutters
X Generator
Sq. Ft. of First Floor: _
-Windows/Doors
Roof
Utilities: _Sewer _Septic Building Height:
Pitch
OWNER/LESSEE:
CONTRACTOR:
Name Linda Miller
Name: James Reisner
Address:1651 NW Sweetbay Cir.
Company: Jim Reisner Electric, LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
Address: 4886 SW Honey Terrace
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No 772-286-2947
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail jamesreisner@bellsouth.net
State or County License EC0002442
If value of construction is $Z500 or more, a RECORutu notice or Lommencemenc is requirea.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ 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 THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
W1r14 Yn11R 1 FNnFR n"N ATTORNEY BEFORE RECORDING YOUR NOTICE OF, COMMENCEMENT."
Signa re of Owner/ Lessee Contractor as Agent for Owner
ruee of Contractor/License Holder
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Personally Known OR Produced Identification ✓
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Type of Identification
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