HomeMy WebLinkAboutA2P0048A Permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number:
'V. LUKE
Z)
a " Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:
PROPOSED IMPROVEMENT LOCATION:
Address: 12200 Angle Road
Property Tax ID #: 1332-211-0002-000-5
Site Plan Name: A2130048A TMO Generator
Project Name: A2P0048A TMO Generator
Lot No.
Block No.
I DETAILED DESCRIPTION OF WORK: I
Install new concrete slab and diesel generator
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
_ Electric _ Plumbing
Total Sq. Ft of Construction: 36
Cost of Construction: $ 38,000.00
_Sprinklers X Generator
—Windows/Doors _ Pond
Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Incirio Holdings LLC
Name: Danlel Ault
Address: 1626 90th Ave
Company: Olin Wayne Companies
City: Vero Beach State: _
Zip Code: 32966 Fax:
Phone No. 954-444-2822
Address: 3060 Orange Grove Trail
City: Naples State: FL
Zip Code: 34120 Fax:
Phone No 954-444-2822
E -Mail: bart.simon@towerquest.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail bart.aimon@towerquest.com
State or County License CGC1522173
IT value or construction is zbuu 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: Not Applicable
Name:
MORTGAGE COMPANY: xx Not Applicable
Name:
Address:
Address:
City: State: _
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: xx Not Applicable
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.
cle County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
h lender or an attornev before commencing work or recording your Notice of Commencement.
Nev. 5/6120
Z'/
Signature f r essee/Contractor as Agent for Owner
Signature f Contractor/License Holder
STATE OF I
STATE OF FLOR
COUNTY O
COUNTY OF
S� jorn to (or affir ) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
7�Physical Pre or_ Online Notarization
�. Physical Prem e r Online Notarization
this day of by
this n day of 2020 by
`2020
IINIININ
Name of person making stateme t&kW%%rt U SIMp/i
iii
Name of person making state n .
Personally Known_ OR Produced Identification
'I \`� \1,.,.. . N
Personally Known J T OROrodut�N�I£kslon. '�.
Type of Identification
Type of Identification .'� tf• '4,,
Produce
Produced = ap
TARA L. KOBEL
z ; NGG 9%614
(Signature of N ;StLbd ib ddSat)GG 969363
(Signature f No IC-- d:' Ideb the .'4V
''�/,'of/
"' My CJuly ission024 Aires
bhc Ona•
Commission No.
Commissio No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Nev. 5/6120