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HomeMy WebLinkAboutBuilding permit applicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 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 x PERMIT APPLICATION FOR: Generator Address: 7601 BAYARD RD Legal Description: LAKEWOOD PARK ADDITION NO 1- BLKB LOT 4 (OR 3513-919 thru 923) Property Tax ID #: 1302-810-0031-000-3 Site Plan Name: Project Name: Hartlaub, Vickie Setbacks Front 108 Back: 19.5 Right Side: 25 Left Side: 50 Supply and Install a 16KW with (1) 150amp Automatic Transfer Switch Lot No. Block No. I=I H VAC Electric "Shutters 11 Plumbing Sprinklers M Generator 1:1 Roof Roof pitch aWindows/Doors Total Sq. Ft of Construction: 1200 Cost of Construction: $ 8600.00 Name Vickie L Hartlaub Address: 7601 BAYARD RD SFt. of First Floor: _ Utilities:Sewer Septic City: Fort Pierce State: FL Zip Code: 34951 Fax: Phone No. E -Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Building Height: Name: Sam Crane Company: Sam Crane Electrical LLC Address: 2618 SE Market Place City: Stuart State: FL Zip Code: 34997 Fax: _ Phone No. 772-223-8865 E -Mail: info@alwaysreadygen.com State or County License: EC0001986 it value or construction is :�zsuu or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: _ Not Applicable Name: Address: City: Zip: Phone: FEE SIMPLE TITLE HOLDER: Name: Address: City: Zip: Phone: State Not Applicable MORTGAGE COMPANY: Name: Address: City: Zip: Phone: BONDING COMPANY: Name: Address: City: Zip: Phone: Not Applicable State: Not Applicable 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 jobsite before the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording our Notice of Commencement. �-.- -�� --- s z - Signature of Owner ss Contractor as Agent for Owner Signature of Contractor/ ens e Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF NA COUNTY OF i k yI The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this ��� _ day of r 20 .Z � by this day of20 by a (Name of person acknowledging) (Name of person acknowledging ) "Wall (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Personally Known OR Produced Identification Personally Known OR Produced Identification Type of Identification Produced Type of Identification Produced Commission No. Commission No. ...�,..�.,..^ 1� %Iy KASSI WILSON "!y11Q" KASSI WILSON PV@ jONntnLy Ptihfir-Rtatp.'2°�Ue�� Notary Public -State of Florida ll I *_ Commission # GG 938839 =* *c" Commission # GG 938839 Revised 07/15/" OFf�P' My Commission Expires �off�o��` MY Commission Expires December 11, 2023 �9'' ��"� December 11, 2023 REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE COMPLETE INITIALS