HomeMy WebLinkAboutKellett Electric permitAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 01/13/2021 Permit Number:
LU( �L'L
L= L 0, L L I-, tz
Building Permit Application
Planning and Development Services
Building and Code Regulotion Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Residential X
PERMIT APPLICATiON FOR:New 22 KW Generator, Transfer Switch & Concrete Pad
PROPOSED IMPROVEMENT LOCATION:
Address: 2014 NW Royal Fern Court
Property Tax ID #: 4425-605-0021-000-7
Site Plan Name: Kellett Residence
Project Name: KELLETT GENERATOR SYSTEM
DETAILED DESCRIPTION OF WORK:
Lot No._
Block No.
SUPPLY & INSTALL A NEW 22 KW GENERATOR, 200 A SE TRANSFER SWITCH ON A NEW CONCRETE PAD
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: $ 16,145.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameLAEL KELLETT
Name:JIM REISNER
Address:2014 NW ROYAL FERN COURT
Company:JIM REISNER ELECTRIC, LLC
City: PALM CITY State: 'F4
Zip Code:34990 Fax:
Phone No.772-807-7488
Address,4886 SW HONEY TERRACE
City: PALM CITY State: FL
Zip Code: 34990 Fax:
Phone No772-286-2947
E-Mail:lkellett@aoLcom
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mailiamesreisner@beilsouth.net
State or County License EC-0002442
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: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: 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.
Lucie County and posted on the jobsite before the first inspection. If you intend to obtain financing, consult
with le-Rder or an attornev before commencing work or recording your Notice of Commencement.
L
of Owner/ Lessee/Contractor as Agent for Owner Sign re of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF `r n COUNTY OF4)ai ✓1
Sworn to (or affirmed) and subscribed before me of
L._Wysical Presence or Online Notarization
this _L�L day of —�,p G u , ' 2024 by
Name of person making statement.
Personally Known 4, OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida___,
Sworn to (or affirmed) and subscribed before me of
"Pf`iysical Presence or Online Notarization
this --1— day of T nr; i, vL 202 J by
Name of person making statement.
Personally Known ✓ OR Produced Identification
Type of Identification
Produced
�ture of Notary Public- State of Ftoridil )_
/� usY a otary Public Stag of FI
Commission No.14 r r 067 :° rBal al,na Luniano
nda N ry P biic State of Florida
Com issian No. // o& &lYiuciano
My COMMISs10A HH 087
Q
8 A s My Commission HH 067068
'
EKptres 12/15/2024
°Fri
JZO
y Expires 12115/2024
REVIEWS
FRONT
NING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED