HomeMy WebLinkAboutApplication SignedAll APPLICA13LE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 03/19121 Permit Number.
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1. Building Permit Application
Planning and Development Services
8uildirrgondCvdeReguiotdonDivision Commercial Re,,idontial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772)462-1578
PER MITAPPLICATION FOR: Selmer Generator
PROPOSED IMPROVEMENT LOCATION-
Address: 6144 Alexandria Circle
Property Tax ID #: 341050303150003 Lot No.
Site Plan Name: Pathea Selmer Block No.
Project Name: Selmer Generator Install
DETAILED DESCRIPTION OF WORK:
22119.5 kW Air -Cooled Generac Standby Generator. Alum Enclosure, equipped with WIFI
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check ail that apply:
Mechanical —Gas Tank _ Gas Piping � Shutters _ Windows/Doors Pojid
Electric — Plumbing _ Sprinklers — Generator T Roof Pitch
Total 5q. Ft of Construction: 1955 Sq. Ft. of First Floor: �.._
Cost of Construction: S 2675 Utilities: —Sewer _Septic Building Height:
OWNER/LESSEE:
NamL,Patncia Selmer
Address:6144 Alexandria Circle
City: Fort Pierce state: 1�
Zip Code: 34982 Fax: -- _-
Phone No.
E-Mail:
Fill In fee simple Title Holder on next page ( If different
from the Owner listed above)
CONTRACTOR:
Name: Robert Shaffer
Company:Prime Retail Services, Inc
Address:3617 Southland Drive
City: Flowery Branch State: GA
Zip Code: 30542 Fax:
Phone No 866 504 3511
E-Mail oompl+ance@rnyriadec.com
State or County License EC13009905
H valneof 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.
IDSUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
ESiGNEIZfENGINEER x Not Applicable MORTGAGE COMPANY: xNotApplicable
Name: Naive:
Address: Address:
City: State: City: State:
Zip: Phone Zip: _ Phone:
FEE SIMPLE TITLE HOLDER. x Mot Applicable BONDING COMPANY: x 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 C 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 €oncurrency review: room additions,
accessory Wuctures, swimming pools, fences, walls, signs, screen roornsand accessory uses to another non-residential use
WARNING TO OWNER: Yourfailure 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 attomey before commencing work or recording our Notice of Commencement-
_QiLt-
Signature of Owner/ Lessee/Contractor as Agent forOwner Signature of Contra`€tor/Licens der
STATE OF FLORIIDA STATE OF FLORIDA
COUNTY OF 2tr 1 U
COUNTY OF
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and s bscribed before me of
Presence or Online Notarization _ Physical Presence or Online Notarization
—Physical
this day of 2020 by this day of 14 [,.?fir-� , tie2e by
tlfn�
Name of person making statement. Name of person making statement -
""A
Personally Known OR Produced Identification Personally Known OR Produced identification
Type of Identification Type of Identification
Produced Produced x
(Signature of Notary Public- State of Fionda) {Signature of Notary Public. State of Florida ) .�
Commission No. {Seal) 1 Comrnission No. U (Seal)
REVIFW5
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
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DATF
COAAPLETED
ev. 516/20