HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 06/08/20
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Planning and Development Services
Permit Number:
Building Permit Application
Building and Code Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ElectrIC
PROPOSED IMPROVEMENT LOCATION:
Address: 401 TROWBRIDGE RD 34945
Property Tax ID #: 2212-424-0005-000-4
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
Residential X
Lot No.
Block No.
Install new 22KW stand-by generator on 3' x 5' concrete slab with 200amp auto trasfer switch. located 18' from north side of residence
New Electrical Meter Second Electrical Meter
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: $ 12000
Gas Piping
Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator
Sq. Ft. of First Floor:
Roof Pitch
Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth S Ball
Name:Daniel Stubbs
Address:401 trowbridge rd
Company:S&W Electric
City: Ft.Pierce State: _
Zip Code: 34945 Fax:
Phone No. 904-501-2328
Address: 501 W Coker rd
City: Ft.Pierce State:A
Zip Code: 34945 Fax:
Phone No 772-201-7320
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail danstubbs33@gmail.com
State or County License 30071
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
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 i
Name: 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 bylaws
rules, 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 OBTANY FINANCING, CONSULT
197TH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
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Signature of Ow er/ Lessee/Contractor as Agent for Owner ;Signature of Con ractor/License Holder
STATE OF STATE OF FLORIDA
FLORIDAN"
COUNTY OF _ ( P COUNTY OF
The fq=going instru ent was acknowledged before me The forgoing instrument was acknowledged before me
thi�s�,, day of ZO
20 by this day of 20_ by
Name of person making statement Name of person making statement.
Personally Known ✓ OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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(Signature of Notary Public- State of Flor
Lary Public- State of Florida
LAURA R CUBB�Commission No
(p Commission#GG 0220PiresOctober
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE 1 MANGROVE
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REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED � '
DATE '
COMPLETED i I � i '
ttev 2/7/19