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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: 0�� • i7.� ��r. CCP0D s kl­ `U U" 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 Residential x PERMIT APPLICATION FOR: �25M��� °�7�.�k�'eh P`RC3i��� 1i111.JuVC1YIG4rl1 Gaag� r> ae„. g" `€.<'ary Address: 11298 MULLER ROAD Property Tax ID #: 2333-133-0001-000-5 Site Plan Name: Project Name: WHOLE HOME GENERATOR Lot No._ Block No. INSTALL A WHOLE HOME GENERATOR 20/22 KW PROPANE ON A 3'X5' CONCRETE PAD. THE PAD WILL BE THE DEPTH (AT LEAST 24" THICK) TO GET TO THE 19'2 ELEVATION. IT WILL BE 3000 PSI CONCRETE WITH #5 REBAR 8" ON CENTER TIED AS A MAT. New Electrical Meter NO Second Electrical MeterNO Additional work to be performed under this permit— check all that apply: _Mechanical _ Gas Tank _ Gas Piping _ Shutters X Electric _ Plumbing _ Sprinklers X Generator Total Sq. Ft of Construction: _ Cost of Construction: $ 7500.00 Name REBECCA PERCY Address:11298 MULLER ROAD Sq. Ft. of First Floor: Windows/Doors _ Pond Roof Pitch Utilities: —Sewer —Septic Building Height: City: FORT PIERCE State: _ Zip Code: 34945 Fax: Phone No. 772-579-3845 E-Mail: BECCA@INTEGCRETE.COM Fill in fee simple Title Holder on next page ( if different from the Owner listed above) Name: REBECCA PERCY - HOME OWNER BUILDER Company: Address:11298 MULLER ROAD City: FORT PIERCE State: FL Zip Code: 34945 Fax: Phone N0772-579-3845 E-Mail BECCA@INTEGCRETE.COM State or County License 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. w.:' ('� i x'x ( /�' jet iF d' e�j»� �+� '?(�� 1"`a%�t�JtV�i:l�Y'V`'l{�1:T�%,�s 'II%'h ' (( h. W '.. fiW : • r ,. ..1s J �: z' "��. l DESIGNER/ENGINEER: x Not Applicable MORTGAGE COMPANY: x Not Applicable Name: Name: Address: Address: City: State: City: State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: x Not Applicable BONDING COMPANY: x Not 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 attornev before commencing work or recording vour Notice of Commencement. Signature of Owner/ Less / ontractor as Agent for Owner Signature of Contract r icense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 5-r- ✓ram COUNTY OF Ste" Swprn to (or affirmed) and subscribed before me of Svyorn to (or affirmed) and subscribed before me of Pi!sical Presence Online Notarization Physical Presence or Online Notarization or this,0"ay of ��,�����- 2020 by thisQ_ day of A, j4 12020 by ,;,++t•••• Name of person making stater6ent. Name of person making statement/ 3 Personally Known OR Produced Identification Personally Known OR Produced Identification o y Type of Identification Type of Identification Produced ✓liar Produced '11� &Awld'••"�' DEBO v c of Notary Public- Sta of FI �a 1A EXPIRES: ESVEaG(Signature Iary Public- State of orida<= Commission No.aQOq�(J(� „Bon�ThruNoary�©05�D(o (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 5/6/20