HomeMy WebLinkAboutSherrod, Debbie Permit AppALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
COUNTY ,
IF CS R t- D R:-
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
Address: 21750 Glades Cut Off RD
Commercial Residential xxx
Legal Description- 20 37 38 THAT PART OF SEC MPDAF: FROM SW COR OF SEC, TH N 89 45 21 E ALG S SEC LI 3087.33 TO POB; TH N 00 50 00 E 600 FT,
TH N 89 45 21 E 1074 FT, TH S 00 50 W 539.99 FT, TH N 8945 21 E 374.21 FT TO NWLY RD RNY LI OF GLADES CUT-OFF RD, TH S 44 46 59 W ALG R!W LI 84.89 FT, TH S 8942 21 W 1389.28 FT TO PO&(15.27 AC - 664,969 SF) (OR 3736-1733, 1738)
Property Tax ID #: 4220-434-0001-000-8
Site Plan Name: Sec/Town/Range: 20/37S/38E
Project Name: Sherrod Generator
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
Supply and Install new 24kw Generator with (1) 200 amp Automatic Transfer Switch on new concrete
pad
CONSTRUCTION INFORMATION:
itiona work to e�e orme under this permit — check a apply:
j
OHVAC ! _I Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
0 Electric 0 Plumbing Sprinklers Generator 0— Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 13,276.00
S Ft. of First Floor:
Utilities:TlSewer 0 Septic Building Height:
OWN ER/LESSEE:
CONTRACTOR:
Name Shox LLC
Name: Sam Crane
Address: 21750 Glades Cut Off RD
Company: Sam Crane Electrical LLC
City: Port Saint Lucie State: FL
Address: 3324 SE Gran Park Way
Zip Code: 34987 Fax:
City: Stuart State: FL
Phone No. 772-260-7821
Zip Code: 34997 Fax:
Phone No. 772-223-8865
E-Mail: psicowgirl@aol.com
Fill in fee simple Title Holder on next page (if different
E-Mail: samcraneelectric@yahoo.com
from the Owner listed above)
State or County License: EC0001986
A..
-, .,,,", W W. C1 F%U%.WF% rL# IMULtce ur wmmencemeni is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: X Not App)
Name: _
Address:_
City:
Zip:
Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY: X Not Applicable
Name:
Address:
State: City: State:
Zip: Phone:
X Not Applicable
BONDING COMPANY:
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
x Not Applicable
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 your paying twice for
improvements to your property. A Notice of Commencement must be recorded 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.
Signature of Owner Lessee/ ontractor as Agent for Owner
STATE OF FLORIDA
f 1�
COUNTY OF `
The for omg ins tr ent was ck py ledged before me
this day of "j/ 20`Zby
(Name of person acknowledging)
(Signat re 6f Notary Public- State of Florida )
Personally Known V OR Produced Identification
Type of Identification Produced
Commission No. l`aG J CQ'
av <,� `�7 % Pub it Stale of Flotid<
�j o
Angela ;E -rk
3ii)n
s Mw l o r. I,' 3 GG 235102
Revised 07/ 15/2014 r Rg
� s
Signature of C t r L' nse der
STATE OF FLORIDA a ^ n
COUNTY OF
The for mg instrument was knowledged before me
this sday of AlOven. 1 20 by
LaaQ
(Name f person acknowledging )
ro
(Signature of N ry Public- State of Flo da )
j4_
Personally Known ✓/ OR Produced Identification
Type of Identification Produ�
�°kt�f Notary F'UDIIL
mission No. �; 1� !a taples
a p � isslon GG 235102
pan ;r s Expires 07/04/2022 - h
REVIEWS
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SEA TURTLE
COUNTER
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DATE
COMPLETE
INITIALS
MANGROVE
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