HomeMy WebLinkAboutBuilding Permit ApplicationAll 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 Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: INSTALL STANDBY GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 9632 ENCLAVE CIRCLE PORTST. LUCIE FL. 34986
Property Tax ID #: 3322-800-0012-000-1
X
9
Lot No.
Site Plan Name: Block No.
MAYRIDES RESIDENCE
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL STANDBY GENERATOR& ATS
New Electrical Meter Second Electrical Meter (Affidavit required)
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: _
Cost of Construction: $
25.000
X Generator
Sq. Ft. of First Floor:
-Windows/Doors _ Pond
Roof Pitch
Utilities: —Sewer —Septic Building Height:
OW N ERAESSEE:
CONTRACTOR:
Name THOMAS & MIRIAM MAYRIDES
Name: YVONNEP. DUDLEY
Address: 9632 ENCLAVECIRCLE
Company:VILLADELTACONSTRUCTIONCORP. LLC
City: PORT ST.LUCIE State: FL
Zip Code:34986 Fax:
Phone No.
Address: 1425 SE VILLAGE GREEN DRIVE
City: PORTST. LUCIE State: FL
Zip Code:34952 Fax:
Phone No
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail YVONNE@VILLADELTA.COM
State or County License CGC1509027
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: PRONTOPLANSLLC
MORTGAGE COMPANY: X Not Applicable
Name:
Address:1425 SE VILLAGE GREEN DRIVE
Address:
City: PORTSAINTLUCIE State: EL
City: State:
Zip: 34952 Phone 7-12-245-6781
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name: SAME AS OWNER
BONDING COMPANY: X Not Applicable
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 intend to obtain financing, consult
with len e n attorney before commencing work or recording our Notice of Commencement.
5i ture of Owner/ Less e,/Contractor s Agent for Owner
STATE OF FLORIDA
COUNTY OF —r L•,P c_ i -e-
Sworn tojor affirmed) and subscribed before me of �ysical Presence or Online Notarization
this � day of (; 4 _ 12091 by
`, -.e-
Name of person making statement.
/
Personally Known OR Produced Identification
Type of Ifd(en1tifiicaUcin Produced �L 0 3 t-/ b 4Ct � � — 7-�
I
Ll �Lltr I �4 tL %�; l �'
{Signature of Notary Public- State of Florida j o�y Pti'j"" MANA WORKMAN
�� �� I Jy Seal r Notary Public • State of Florida
Commission Na (seal) Commission # GG 351634
6''? of stiff' My Comm. Expires Jul 4, 2023
Banded through National Notary Assn.
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