HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 2/24/2017 Permit Number:a.
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Building Permit Applicati®n FEB 2 7 2017
Planning and Development Services
Building and Code Regulation Division cRil✓IITTING
2300 Virginia Avenue,Fort Pierce FL 34982 St. Lucie County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Electrical
PROPOSED IMPROVEMENT LCATIaN - L , , x
Address: 1545 NW Button Bush Circle Palm City, FI 34990
Legal Description: Unit 26, Harbor Ridge Plat No. 13, Plat Book 28, page 3.
Property Tax ID#: a.Cfl� ��5'dOb'�_ �CZO— Lot No.
Site Plan Name: Block No.
Project Name: William Harrison
Setbacks Front53' Back: 110, Right Side: 13' Left Side: 6'
DETAILEd D��CRIPT)O1V OF WORK � , � � - r.
Install a new 22KW generator with a 200amp Automatice Transfer Switch for emergency standby
power.
CONSTRUCTION LNF4RIVIATION }! " #
Additional work toe e orme under this permit—c ec a appy:
0HVAC Ei GasTank E]Gas Piping In Shutters ❑Windows/Doors
R]Electric ❑ Plumbing Sprinklers gGenerator ❑ Roof Roof pitch
Total Sq. Ft of Construction: SFt.of First Floor:
Cost of Construction:$ 2350.00 Utilities:Sewer❑Septic Building Height:
01NNER/LESS > z CONTRACTOR 1
F
Namewilliam Harrison Name: Robert S.Crane
Address:1545 NW Button Bush Circle Company: Sam Crane Electrical
City: Palm City State:F: Address: 5458 SE Major Way
Zip Code: 34990 Fax: City: Stuart State,FI
Phone No.757-270-6738 Zip Code: 34997 Fax: 600-5515
E-Mail:wharrison@williamsmullen.com Phone No. 772-223-8865
Fill in fee simple Title Holder on next page(if different E-Mail: samcraneelectric@yahoo.com
from the Owner listed above) State or County License: EC0001986
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
'Pd .� 5 'y `l'"� a �,.' �f
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone: Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
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.
C�f- -- S
Si re of&4—ner/LesseeAcoriirictor as Agent for Owner Sig re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORID r1
COUNTY OF , �� COUNTY OF 1 11
The forgoing instrument,was acknowledged before me Thef ping instrument was acknowledged before me
this day of
'-t
20 ]'�by this `.day of Y_tb• ,20 by
1_6,shua OYdru
(Name of person acknowledging) (Name of person acknowledging)
ow,AaA -
(Signature of Notary Public-St to of Florida) (Signature of Notary Public-Sta a of Florida)
Personally Known OR Produced Identification Personally Known OR Pro uced Identification l/
Type of Identification Produced Type of Identification Produc 1
�, ���„ LASHAHNA INGRAM (�(�r PETROMIIPASCUAL
•' a� '' ' -I I J I
Commission No. <� *� NWy 0ublic-State of Florida Commission No. (Sfy1•ybNC•State of Fforl
•„ ; My Comm.Expires Dec 20,201 Coasntffflon�i FF 995716
:N n M Comms.Expires M 24,20
Bonded through National Notary Assn. Wonal Notary Ass
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS