HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 07/16/2020
Permit Number:
511T. LUicli �.
Building Permit Application
Planning and Development services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:22KW GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 3609 S INDIAN RIVER DR
Property Tax ID ff: 2426-413-0003-000-3 Lot No.4
Site Plan Name: I IQ THAT PART OF S 88 FT OFN N7.0 FTOF GOVLOT4 LYG E OF E RIW OF FECRRi SS W4583F.(M) Block No. 26
Project Name: SUSAN GRIMES- GENERATOR
DETAILED DESCRIPTION OF WORK:
INSTALL 22 KW GENERAC GENERATOR WITH A SERVICE RATED AUTOMATIC TRANSFER SWITCH TO
MANUFACTURERS' GUIDELINES AND NEC REQUIREMENTS
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank —Gas Piping _ Shutters -Windows/Doors _ Pond
✓ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ A 00
Sq. Ft. of First Floor: _
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSUSAN GRIMES
Name:MATTHEW RAULERSON
Address:3609 S Indian River DR
Company:THE ELECTRICAL EXPERTS LLC
City: Fort Pierce State: Tj
Zip Code: 34982 Fax:-
Phone No.772-210-6100
Address:7990 SW JACK JAMES DRIVE
City: STUART State: FL
Zip Code: 34997 Fax: 7722105928
Phone Now-1-12-Zt0-(0100
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 CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
x Not Applicable
MORTGAGE COMPANY:
Name:
X Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
x Not Applicable
BONDING COMPANY:
Name:
x 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 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 i nd to obtain financing, consult
with lender or an attorney before commencing work or recordin our o ' f Commencement.
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Signatur of O er esse ract/ o as Agentfor Owner
Signatur f Contractor/License Ho" Ider
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF mu&ig
COUNTYOF
Sworryto (or affirmed) and subscribed before me of
VPhysical Presence or Online Notarization
this jZ day of �itT 2020 by
SW to (or affirmed) and subscribed before me of
✓Physical Presence or Online Notarization
this / -7 day of J 2020 by
Mai floc u Tojo_ .e_r S or-)
�Acx_t bf LLl Pcz u l e r'son
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 DJ MJ-PK O17SP .
(Signature of tbtary Public- State of Florida)
(Signature of Wotary Public- State of Florida )
Commission No. CgLh 35g C-j I Q (Seal)
Commission No. C�rQ�59C I g (Seal)
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 516120
• a *- TAYLOR M JONES
Notary Public - State o' Florida
+" Commission a GG 359a18
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aorCrc through Nation: Notary Assr.
TAYLOR MJONES
• a :.', Notary oUblk - State Or Florida
Comminlon a GG 359418
P/ MY Comm, Expires Jul 28, 2023
Swc0c through Natipfal NOIAN A,,n