HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: - pL (30 S -L
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential ✓
PERMITTVPE:22KW Standby Generator Installation
Address: 16 Sovereign Way, Fort Pierce FI. 34949
Property Tax ID #: 1414-701-0147-000-8 Lot No.14
Site Plan Name: NIA Block No. 14S
Project Name: Home Standby Generator Installation
Install a 22 KW LP gas fed standby generator, 200A service rated transfer switch, new Sub panel (replace the existing 200A sub panel).
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 10,600.00
_ Generator
Sq. Ft. of First Floor:
-Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
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Name Carole Thew JR)
Name: Steve Courtney
Address:16 Soveregin Way
Company: Courtney Elecxtric LLC
City: Hutchinson Island State: _
Zip Code: 34949 Fax:
Phone No.772-828-0455
Address:9035 Americana Rd. Ste 15
City: Vero Beach State:FI
Zip Code:32966 Fax: 772-212-0298
Phone N0772-562-6048
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail Chds@ccurtneyelectric.com
State or County LicenseEC13006555
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.
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DESIGNER/ENGINEER: _
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip:
Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER: _
Name:
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
OY
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WITH 00 TENDER OREAN BEF NTHE FORE RECORDING EOIF
YF C TICE D COMMEANJIM RNG,RCONSULT
Sig of -owner/ Lessee/Contr
r as Agent f Owner
i n of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �� o
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COUNTY OF
The for Ing instrument was acknowledged before me
The forgoing instrument was acknowledged b fore me
this day of
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this � day of 19V% / 20 y
Name of person making statement.
Name of person makingstatement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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(Signature of Notary Public- State
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(Signature of Notary Public- Sta o orida )
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