HomeMy WebLinkAboutApplication SignedAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date- 4/13121 _— Permit Number
r Building Permit Application
Planning Oro Dcvriopm."I S :' ""
Building and Code ltrt)ulation Dlvnion Commercial Residential x
Z300 Virginio Ave.. ur, Fort Pierce Ft 34982
Phone (772)462-1553 Fax:1772)462-1578
PERMIT APPLICATION FOR:Raymond Hite
PROPOSED IMPROVEMENT LOCATION:`
Address 8316 Belfry Place
Prooertv Tax ID lt 3327-701-000B-000-1
Site Plan Name: 8316 _
Project Name: Hite Generator Insall
DETAILED DESCRIPTION OF WORK:
22 19 5_Air Cooled Generac Standby Generator, Alum E closure with 200
New Electrical Meter_ Second Electrical Meter
t,--,
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - chec
_Mechanical _ Gas Tank _. Gas Piping
— Electric _ Plumbing _ Sprinklers
Total Sq Ft of Construction: 1719 _
Cost of Construction. 5 2775 Utihbi
OWNER/LESSEE:
N.ime Raymond Hde---
Address"8316 Belfry Place
City: Port Saint Lucie State
i Zip Code, 34986 Fax:
Phone No. 706 970 5550
F.Mad:nta
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
F all that apply
Lot NO-5
Block No
i TS. equipped with VVIFI - — -�
_ Shutters _ Windows/Doors-. _ Pond
)(Generator _ Roof Pitch
Sq. Ft. of First Floor:
s: _ Sewer Septic Building Height: —
CONTRACTOR -
Name: Robert Shaffer
Company. Prime Retail Services. Inc
Address:3617 Southland Drive
CityFlowery Branch State: GA
Zip Code. 30542 Fax:
Phone No866 504 3511
E-Mail compliance@mynadec,com
State or County License EC13009905
It 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 INFORMATInN•
DESIGNER/ENGINEER: Not ppplirablc
N.1-n,
Audreys.
;Ip _
Phone State:
_
FEE SIMPLE TITLE HOLDER: x Name: Not Applicable
-'--
Address:
(loy:
�'P: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Apphcation is her n
I certify that no work or installation has commenced prior to the
St LucreCounty makes no representation that is granting a perm which is m coMl¢t with any applicable Home Owners Assoc otior
zvtrcture. Please consult with your Home Owners Association any
In consideration of the granting of this requested permit. I do hei
in accordance with the approved plans, the Florida Building Code
the following building permit applications are exempt from unde
accessory structures, swimming pools, fences, walls, signs, screer
MORTGAGE COMPANY: x_ Not Applicable
Name.
--
C,ry_ _ state: _
Zip. Phone:__-_
BONDING COMPANY:
Name
Address -
City
Zip —_ Phone:—
x_Not Applicable
fe to obtain a permit to do the work and installation as mdKated.
uance of a permit
vill authorize the permit holder to build the subject structure
des. bylaws orand covenants that may restrict or prohibit such
eview your deed for any restrictions which may apply.
igrer that I will, in all respects, perform the work
St Lucie County Amendments.
g a full concurrency review: room additions,
ns 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 attorney before commencing work or recording your Notice of Commencement.
QKZO— �Oa � Signature of Owner/ lessee)Cantractor, a ent for Owner Signatu e— off- Contractor/L¢eme Helder
I STATE OF FLORID
COUNTYOF semmole
Sworn to {or afbrmed) and subscribed before me of
_ Phyysical Preserice or �_ Onf ne Notarization
this IS"I"day of AN:ej -___, 2020 by
K41oet'k- ��hct-4'�er
Nam of person making statement
Personally Known X OR Produced identification _
Type of Idenvhcabon
Produced __
I -OM n � ,� N-A--
(Signature of Notary Public. State frS�E
Ha.EV MaTMEwS1
rr��[� 'Y�T�Yn �xarr:= � Sate o!
Commission Nu.{j}iA6yVc_ yll Cammntgn lHH 4SI
an. u cwm. hyvns"21
REVIEWS FRONT ZONING SUPERVISOR
j COUNTER REVIEW i REVIEW
_. . ----- ---_-- - l'-' - --- '-- ------
DATE '
RECEIVED
DATE
COMPLETED
Rev;-51mo
STATE OF FLORIDA
COUNTY OFs
Sworn to (or affirmed) and subscribed before me of
Physical Presence or x Online Notarization
this ism day of APO , 2020 by
120 ber-t Sha(k,_
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
fig lure of Notary Public St �ida) IUu[yMAHEm
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PLANS VEGETATION SEATURTLE ! MANGROVE
EVIEW REVIEW REVIEW REVIEW
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