HomeMy WebLinkAboutDeSantis Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: _I - 1 • 1 Permit Number:
Building er i licai®
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
PERMIT APPLICATION FOR: GENERATOR
PRO'PED:`I,MPROVEII/IENT LC7CATION:
t7S
Address: ! 01--mr\0 J 1 KCC 1, ruK 1 MtKUt, hL 34981
Property Tax ID #. 2419-801-0018-000-0
Site Plan Name: DESANTIS, BILL
Project Name: DESANTIS, BILL
Residential X
INSTALL 22 KW GENERAC GENERATOR WITH A 200 AMP NEMA 3R TRANSFER SWITCH.
New Electrical Meter Second Electrical Meter
Additional work to be performed under this permit -check all that apply:
_Mechanical _ Gas Tank _ Gas Piping — Shutters
Electric _ Plumbing _ Sprinklers VGenerator
Total Sq. Ft of Construction:
Cost of Construction: $ 24,114.83
Lot No. 13
Block No.
— Windows/Doors _ Pond
Sq. Ft. of First Floor:
_ Roof Pitch
Utilities: —Sewer —Septic Building Height:
Name BILL DESANTIS
Address: 3066 CROCKETT WAY
City: LAKE WORTH State: 9-i
Zip Code: 33467 Fax:
Phone No. 561-436-7422
E-Mail: DESANTISW@AOL.COM
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: JOHN PANKRAZ
Company: ELITE ELECTRIC AND AIR
Address: 1691 SW SOUTH MACEDO BLVD
City: PORT ST LUCIE State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No 772-340-3797
E-Mail PERMIT@ELITEELECTRICANDAIR.COM
State or County License EC13006036
- - - -- -- " - `+• •••�• _, a nl_%�WnUw ivume or %.ommencement 1s required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPL.EMENTAI CONSTRUCTION LIEN I:A1N INFDRiV1ATfC3N:
DESIGNER/ENG
Name: INEER: Not Applicable
w.��;
pp MORTGAGE COMPANY: " Not Applicable
Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: 3<"Not Applicable BONDING COMPANY: --°`"'Not Applicable
Name: 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 lender or an attorne before commencing work or recording our Notice of Commencement.
Signature of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/Licerie Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF SU, f COUNTY OF � o -- cc
Sworn to (or affirmed) and subscribed before me of
��Ncal Presence or Online Notarization
ay of & A a I a, 2020 by
Name of person making statement
Personally Known S OR Produced Identification
Type of Identification
Produced --
Signature of Notary Pu
Commission No.
REVIEWS I FRONT I ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
KONNI LENAE DEWITT
State of Flo
Sw rn to (or affirmed) and subscribed before me of
Physical Presence or Online Notarization
this 'day of 2020-6y
cl- -0z) k
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
KONNI I.ENAE DEWtTT
,. ,,.,hnr. -State of Ftor
1 JC0mmi551u11 12 1(i nature of Notary PubASt "`'' pwy Comm. Expires Dec 10, gYCom mtsEXpwiped Through NationalNoleryAs 11
n.u#�� a pQc My Com mISSIOn NO. . ; (: rqi y , Q;$ea( glhrouy
•...For-5�:,,
SUPERVISOR I PLANS I VEGETATION I SAT RILE I MANGROVE
REVIEW REVIEW REVIEW