HomeMy WebLinkAboutBuidling Permit ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: July 10,2017 Permit Number: -
s
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 Li
t?RO,"k&ED ' OVE l)=NT LDCATICIN• '
Address: 3658 Eleven Mile Road
Legal Description: 28 35 39 SW 1 1/4 OF SE 1/4-LESS 1 ACRE SQUARE IN NW COR AND LESS S 850 FT AND LESS E 168.05 FT AND LESS
W 15 FT(12.12 AC)(OR 1906-1183)
Property Tax ID#: 2328-432-0001-000-7 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
„DETAIlEI3 DECRIPTtON fll=WaRK•
_-....
Install new 20KW Briggs & Stratton generator with service entrance rated automatic transfer switch
and (2) load control modules.
CQNSTRI#GTIONbtNFOITM�dOl ....ry .--.-.... .EE...` 3 Y i
...........¢ .._..y--:........ arc -. ..,.3.5. ......,v4....xn a�it ..i_ ,.s.. .... ...::.....
Additional work to De nertormed under this permit—check a app y-
HVAC Gas Tank FGas Piping Shutters a Windows/Doors
11 Electric ❑ Plumbing Sprinklers gGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 4,711.00 Utilities:[]Sewer Septic Building Height:
QINNERjLESEE CONTRACTQR
,.
Name Reuben W Carlton(FST) Name: Daniel S.Richmond
Addr"ess:3810 Eleved Mile,Road , Com an M.P.,Richmond, Inca DBA White Electric
p. y
Clty:'Fort Pierce" State: FIL Address: 645 3rd Place
Zip Code:.34945 _ = Fax,: ' City: Vero.Beach_ . . State:FL
Phone No. Zip Code: 32962 Fax: 772.562.1410
E-Mail: Phone No. 772.567.2642
Fill in fee simple Title Holder on next page(if different E-Mail: info@whiteelectricvero.com
from the Owner listed above) State or County License: EC13002005
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTA CC?NSTRUC iC?N U N LAVtiI INFt3RMAT10N
,. ,
.......
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:
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 thepermit 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.
�. .f s
Signature of Owner/Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA {� STATE OF FL RIDA
COUNTY OF I►'�QlG( VA I C VAV COUNTY OF '/,U/1 DV
The forgoing instrumenj was acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Eby this 'day of 20 by
Ch nil D AeL 121-r el Im
(Name of person acknowledging) (Name of person acknowledging)
(Signatur of Notary P91ic-State of Florida) ( ignatur yof Notary lic-State of Florida)
Personally Known -*"' OR Produced Identification Personally Known,/ OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. M LIZABETH R07T Commission No. p .�' MARY r-15TaaRTH ROTT
commission#FF 956228 ;t: Commission#FF 956228
lell Expires Febiu Y,
Revised 07/15/2014A Bonded ThruTroy Fon Insurance aoo3Bs-7019 $„ � Bond edThuTroyFmin lnsureA0MS7019
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
I N ITIALS
JOSEPH E. –SMITH, CLERK 0;, ',HE CIRCUIT COURT – SAINT LU( COUNTY
FILE # 4333618 OR BOOK ;B PAGE 567, Recorded 07/25/ _ L7 11:11:08 AM
NOTICE OF COMMENCEMENT
Permit Na. Property Tax!D No. 232$-432-0001-000-7
State of Florida,County of St.Lucie
The Undersigned hereby gives notice that improvement will be made to certain real property,and in accordance with
Chapter 713,Florida Statutes,the following information is provided in this Notice of Commencement.
p{ Legal Description of property and address if available 28 35 39 SW 1 1/4 OF SE 1 A-LESS 1 ACRE SQUARE IN
�! NW COR AND LESS S 8SU FT AND LESS E 188.05 FT AND LESS W t5 FT(12A2 Ac)(OR Igwi1831 3658 ELEVEN MILE ROAD FOR TPIERCE,FL 34915
General description of improvements Install 20kW generator,automatic transfer switch,and(2)load control modules,
owner/lessee Reuben W Carlton(FST)
Address 3810 Eleven Mile Road Fort Pierce,FL 34945
{ Interest in property: Owner
Ij Fee Simple Title holder(if other than owner)
li Address
Contractor MP.Richmond, Inc.DBA White Electric phone# 772.567.2642 d `` s_r 5.
Address 645 3rd Place Vero Beach,FL 32982 Fax# 772.562.1410 S.fin
---ems ;=v11 -rs
C �C2
Sure Phone# o o r
Address Fax# Z
M
Amount of Bond _ q
Lender Phone# "t C12
Address Fax# V <
Persons within the State of Florida designated by Owner upon whom notices or other documents maybe served as provi ed CD
t` by Section 713.13(a)7.,Florida Statues:
Name Phone# m sa}
Address Fax#
In addition to himself,owner designatesof
y
Phone# Fax#
to receive a copy of the Lienor's Notice as provided in Section 713,13(1)(b),Florida Statutes, Expiration date of notice of
commencement is one year from the date of recording unless a different date is specified. 'WARNING TO OWNMit:
ANY PAYMENTS MADE BY TIIE OWNER AFTER THE EXPIRATION OF THE NOTICE OF COMMENCEMENT ARE CONSIDERED IMPROPER
PAYMENTS UNDER CH.713.13.F.S.,AND CAN RESULT 1N YOUR PAYING TWICE FOR IMPRUVF.MF,N'FS TU YOUR PROPERTY. A NOTICE OF
COMMENCEMENT MUST BE RECORDED AND Po,tiVrF.n(}N THE JOB SITE BEFORE THE FIRST INSPECTION_IF YOU INTEND TO OBTAIN
FINANCING,CONSULT WITH YOUR LENDER OR AN ATrORNI`Y BEFORE COMMENCING WORK OR RECORDING YOUR NOTICE OF
j COMMENCMENT.
1 � /
waer/Lessee,or owner-s or Lessee's A thorized OMeer!Director/Partner/dlanager/Signature
Signatory's Title/Onix
State of Florida,County of'_Lta,,��p�
Acknowledged before me this Oa. ,day of Vj tij 20}j, by P r!Ij W, C'�1R tM
who is ersonally known to me or who lies produced as as Identiftcat n.
Signature ofRotary Type or Print Name oNotary (Seal)
�gPv p . WAiiMIG U,ttC1VYARl1
Title: iNootary Public Commission Number(��C�— � (; NYWmhtiss"10000mil
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i �5001EXPfRES:OctoYMZk2Q20
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i r"FL" 60nd1ft'IhU 61�I1t tM1llY flbi
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