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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION�r�� �homp All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: Q1(0 7" 0L O 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: P,RQP08 D LIVIPROVEM:ENT•`LOCATI�ON Address: 8801 One Putt PL., Saint Lucie West, FL 34986 Property Tax ID #: 3334-500-0093-000-8 Lot No. Site Plan Name: Block No. Project Name: Installation of 500 gal tank for generator OETAILED DESCRIPT'IO' OF WORK: Installation of 500 gal tank for generator New Electrical Meter Second Electrical Meter CONSTRUCTIONINFORMATION Additional work to be performed under this permit —check all that apply: _Mechanical _�o Gas Tank —Gas Piping _ Shutters Windows/Doors _ Pond _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ J4010. GO Utilities: _ Sewer- _ Septic Building Height: 01 ' NER/LESSEE , , _ ;CONTRACTOR.' • . Name Keith W Hansen Name: Jesse Rack Address: 8801 One Putt PL City: Saint Lucie Wes State: FL Zip Code: 34986 Fax: Phone No. Company: Rack Electric Address:153 NW 16th Street City: Boca Raton State: FL Zip Code: 33432 Fax: Phone No 561-391-3550 E-Mail: Fill in fee simple Title Holder onnext page (if different from the Owner listed above) E-Mail INFO@RACKELECTRIC:COM State or County License LI-45024 / LQ34297 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. 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 withI der or attorne before commencin work or recordin our Notice of Commencement. SUPPLEMENTAL CO:�ISTRUCTION LIEN LAW INFORMAT!•4N 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: lg�u�rye ,gfd©;wner�/ Lessee/Contractor as Agent for Owner ntra ' ense Holder SiaNO STATE OF FLO SFLO ID 1 COUNTY OF �rr� ft C F C�J�-- Sworn to (or affirmed) and subscribed before me of S o to (or affirmed) and subscribed before me of Physical Presence or Online Notarization Physical Presence or " Online Notarization thisday of Wu-.,`� . 202