HomeMy WebLinkAboutKlein, Richard & Susan Signed ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1/27/2021 Permit Number:
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
Address: 12772 NW Mariner CT Palm City
Legal Description: HARBOUR RIDGE -PLAT 4- TRACT C
Property Tax ID #: 4425-603-0010-000-1
Site Plan Name:
Project Name: Klein, Richard & Susan
Setbacks Front 42.5 Back: 161.93
Right Side: 122 Left Side: 23
Lot No.
Block No.
Swap out existing generator with (1) 38KW Generator and (2) 200amp Automatic Transfer Switch
[1HVAC _
❑✓— Electric ❑ Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: 5250 S Ft. of First Floor:
Cost of Construction: $ 22312.00 Utilities:CnSewer Septic Building Height:
Name Susan Klein
Address: 12772 NW MARINER CT
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
"Shutters
Name: Sam Crane
Company: Sam Crane Electrical LLC
Address: 2618 SE Market Place
City: Stuart
Zip Code: 34997 Fax: _
Phone No. 772-223-8865
E-Mail: info@alwaysreadygen.com
State or County License: EC0001986
IT vaiue oT construction is 5Z500 or more, a RECORDED Notice of Commencement is required.
11 Windows/Doors
Roof pitch
State: FL
sm.......................
_ Not Applicable
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
MORTGAGE COMPANY: _ Not Applicable
DESIGNER/ENGINEER:
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 vour Notice of Commencement.
Signature of Owner/Lessee 6ntract as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF �--�� ia. t k fl COUNTY OF CA J VL i—N
The for oing instrument was acknowledged before me
thisa � day of _'C—\LkCa, 203-t by
(Name of person acknowledging)
\, -
(Signature of Notary Pub/lic- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07
EsNotary Public State of Florida
l.IN Grant Galligher
Expires 10/28/2024
The forgoing instrument was acknowledged before me
this�� day of cx,' 20 21 by
C5 ✓A S� crC�,
(Name of person acknowledging )
(Signature o Notary Pu i tate of Florida )
Personally Known a/ OR Produced Identification
Type of Identification Produced
Noo�w, Public State of Florid
Commission No. kyev
S�iihtGalligher
My commission HH 058061
Expires 10l2812024
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS