HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 05/04/2021 Permit Number:
9 14o f1CDG.
°`'0` .. n fia— Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: GENERATOR
PItOPQSED IMPKdUEMENT LOCATION,.
Address: 109 CAMELOT DR FORT PIERCE FL 34946
PropertyTax ID q: 1432-801-0043-000-2
Site Plan Name: SHERATON PLAZA -UNIT ONE
Project Name: Noble
Install 16KW air cooled home standby Generac cenerator - Generac transfer switch
Lot No. 41
Block No.
New Electrical Meter Second Electrical Meter
;C„ONSTRUCTION INFORMAT�ONiii 'T!'
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_ Electric _ Plumbing _ Sprinklers i( Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 12528.00 Utilities: _Sewer _Septic Building Height:
AWNER/LESSEE '
CONTRACTOR
Name Franlin or Claudia Noble
Name: Craig Cantrell
Address:109 CAMELOT DR
Company: AMTEK AIR CONDITIONING, INC.
City: FORT PIERCE State: _
Zip Code: 34946 Fax:
Phone No. 772-466-0229
Address: 571 NW Mercantile PI B-12
City: PORT ST LUCIE State: FL
Zip Code: 34986 Fax:
Phone No 772-237-5254
E-Mail:
Fill In fee simple Title Holder on nextpage (if different
from the Owner listed above)
E-Mail admin@amtekair@gmail.com
State or County License ES12001774
If 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.
SUPPLNIIVLGQSTIIGTib'N �ENLJIW �ORIV�(#Tllyyt��
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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
City:
Zip: Phone
State:
Address:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is In co %ct 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, swimmingpools, 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 attorneybefore commencingwork or recordin our Notice of Commencement.
Signature of�0 er/ Lessee/Contractor as Ag t r Owner
Signature of� ntractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF aTLUCiecoutM
COUNTY OF SZ1
Sworn to (or affirmed) and subscribed before me of
Sworn to (or affirmed) and subscribed before me of
x Physical Presence or Online Notarization
x Physical Presence or Online Notarization
this nth day of rnnv 2020 by
this <m day of mnv 2020 by
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Name of person making statement.
Name of person making statement.
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Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
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Type of Identification
Type of Identification
Produ d
Pro du
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(Signature of Note �t too o t a-Notar Public
(Signature of Notary Public- State of Florida )
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