HomeMy WebLinkAboutBuilding Permit AppAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
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
PERMIT APPLICATION FOR: GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 5405 DEER RUN DR
Property Tax ID #: 1313-502-0038-000-0
Site Plan Name:
Project Name: JOHN CHALOUX
DETAILED DESCRIPTION OF WORK:
INSTALL NEW 22KW GENERATOR AND SLAB WITH 2 LOAD SHED MODULES
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Residential YES
Lot No. 461
Bloch No.
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank —Gas Piping _Shutters _Windows/Doors Pond
x Electric — Plumbing _ Sprinklers x Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 14,176.51 Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE: CONTRACTOR:
Name JOHN CHALOUX Name: GEORGE G SANCHEZ JR
Address: 5405 DEER RUN DRIVE Company. EXCEL ELECTRIC LLC
City: FT PIERCE State: Address: 1391 SW BELLEVUE AVE
Zip Code: 39451 Fax: City: PORT ST LUCIE State: FL
Phone No. 772-577-6794 Zip Code: 34953 Fax:
E-Mail: JCSCJC@COMCAST.NET Phone No 772-529-1091
Fill in fee simple Title Holder on next page = if different E-Mail EXCELOFFICE77@GMAIL.COM
from the Owner listed above) State or County License EC-13006483
-�•-•� �• ...+w••..•.�w•. •a a.ivv vMUIU, p n«.vnueu trume or iommencemenT 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 MORTGAGE COMPANY: _ Not Applicable
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:
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 inte twin financing, consult
with lender or an attorneybefore commencin work or recordin once of Ca encement.
Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF STLUCiE COUNTY OF sTLUCIE
Sworn to (or affirmed) and subscribed before me of Sworn to (or affirmed) and subscribed before me of
✓ Physical Presence or Online Notarization Physical Pres nce or Online Notarization
this day of 202q by this day of 202q by
JOHN CHALOUX GEORGE G SANCHEZ JR
Name of person making statement. Name. of person making statement.
Personally Known OR Produced Identification x Personally Known x OR Produced Identification
Type of identification Type of Identification
Produced nL Produced _
(Signature 6f Notar
(Signature of Not Public-
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COMPLETED