HomeMy WebLinkAboutHoshino permit appAll APPLICABLE INF MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �/� Zofo Permit Number:
COUNTY
F 1 .O R I D.A".
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462--1553 Fax: (772) 462-1578
Building Permit Application
Commercial Residential X
PERMIT TYPE: Electrical Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 1508 NW Sawgrass Way, Palm City, FI 34990
Property Tax ID #: 4426-815-0066-000-2 Lot No.
Site Plan Name: Hoshino Block No.
Project Name: Hoshino generator installation
DETAILED DESCRIPTION OF WORK:
Install a new 22KW Generac generator with a 200A transfer switch on a new prefab GenPad.
[CONSTRUCTION INFORMATION:
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 Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ z� 'g Utilities: —Sewer —Septic Building Height:
dr
OWNER/LESSEE:
CONTRACTOR:
Name Patricia L_ Hoshino
Name:James Reisner
Address:1508 NW Sawgrass Way
Company:Jim Reisner Electric, LLC
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.772-344-6701
Address:4886 SW Honey Terrace
City: Palm City State: FI
Zip Code: 34990 Fax:
Phone No772-286-2947
E-Mail: pathoshino@gmaii.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailjamesreisner@bellsouth.net
State or County License EC-0002442
If 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 LAW 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: T Not Applicable
Name:
BONDING COMPANY: Not Applicable
Narne-
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 IMPROYEMENTS 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
WITH YOUR LENDER QR AN ATTORNEY BEFORE RECORDING YOVR190TICE OF COMMENCEMENT.-
Signatu of Owner/ Lessee/Contractor as Agent for Owner
Sign ure of Contractor/License Holder
ST E OF FLORIDA
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ATE OF FLORIDA 1�
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COUNTY OF
COUNTY OF
The for,oiing instrumer was acknowledged before me
The forgoing instrument was acknowledged before me
this I J day of ZJ U r\.� 20a�3 by
this I d— clay of ___J U e_ 20,*10 by
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Name of person making statement.
Name of person making statement.
u�OR
Personally Known Produced Identification
Personally Known ✓/ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Public State of Flo ida
Commission No�oeC. 0�
Mr, L.I r
Commission No =.':
A CDCIAN®
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MY COMMISSION # GG041865
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iecember 15. 2020
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