HomeMy WebLinkAboutApplicationAll 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 Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 25765 ORANGE AVE
Property Tax ID #: 2112-433-0001-000-7
Site Plan Name: Adams Ranch- Generator
Project Name: Adams Ranch- Generator
I DETAILED DESCRIPTION OF WORK:
Residential X
Lot No. -
Block No. -
Installation of Customer supplied Generator and Automatic Transfer Switch to manufacturers' guidelines and NEC Requirements
Si MPM 2(', AK) FsxXtna ra C7 aOd M aA8&4 CLIU-PwtD.,tiChQLM?V .(UA11
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: $ 2100.00
_ Gas Piping
_ Sprinklers
_ Shutters _ Windows/Doors _ Pond
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameAlto Lee Adams III
Name:MATTHEW RAULERSON
Address: PO Box 12909
Company:THE ELECTRICAL EXPERTS LLC
City: Fort Pierce Statel;�ft,
Zip Code: 34979 Fax:-
Phone No.772-210-6100
Address:7990 SW JACK JAMES DRIVE
City: STUART State: FL
Zip Code:34997 Fax:772-210-5928
Phone N0772-210-6100
E-Mail: MRAULERSON@THEEXPERTS.BIZ
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-MailMRAULERSON@THEEXPERTS.BIZ
State or County License EC13008438
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 CONSTRUCT[? LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ of Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _INS of Applicable
BONDING COMPANY: _flot Applicable
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 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attorne *efore comme cing work or recording our Notice of Commencement.
_
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Signature of Owner/ Le;see/Contractor ash/ gent for Owner
Signature of Co tractor/License Holder
STATE OF FLORIDA..
STATE OF FLORIDA
COUNTY OF w c-hn
COUNTY OF Y�1 C_X'tJn
Swor o (or affirmed) and subscribed before me of
Sworn o (or affirmed) and subscribed before me of
Physical Presence or _ Online Notarization
hysical Presence or Online Notarization
this � day of -,To lJF-. 2020 by
this � ` day of �I N x 2020 by
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Name of person making statement.
Name of person making statement.
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Type of Identification
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