HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED _
Date: Permit Number:
m
� JUL 6 5
Building Permit Application
Planning and Development Services St• Lucie
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce A 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator El
P'R'O,POSED I.MP ROVE M,,ENT LOCATIC+N: _ :0
Address: 10201.Crosby Place Port Saint Lucie FL 34986
Legal Description: POD 26 at the reserve replat cypress point lot 116
Property Tax ID#: 332771000180002 Lot No.116
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION F W,ORK'. ; �ry t'iN
Install 22kw standby generator (1) 200 amp service entrance rated transfer switch and load sharing,
modules
a G :
5. �m CONSTRUCTIO NOMAION
Additionalworkto a er orme under this-permit—check a apply:
E1HVAC be
_-
Tank Gas Piping _Shutters Windows/Doors
Electric ❑ Plumbing Sprinklers Generator Roof Roof pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 9100.00 Utilities: Sewer Septic Building Height:
OWNER%LESSEE'._ CONTRACTOR:
n.
NameThomas Needham Name:It'. _�Uk C KR N-,"Vyw
Addres :10201 Crosby Company: EMI( l l L
P Y�
City: 1 Gmw State: Addres (
Zip Code: "I Fax: City: 11 State:
Phone No. Zip Code: I���1 t� Fax:
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: cay,7
from the Owner listed above) State or County License: tr l
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
i
SUPPLEMENTAL.CONSTRUCTION LIEN LAW INFORMATION: '-
DESIGN ER/ENGIN EER: Not Applicable MORTGAGE COMPANY:E _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:
III
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 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 our Notice of Commencement.
s
Signature of 0 er/ essee/Contractor as Agent for Owner Signature C ntract r/License Holder
STATE OF FLORIDA STATE OF FLORIDA �i
COUNTY OF COUNTY OF lJl.
The f ing instrumpnt///was acknowledg efore me The f oing instrument was acknowledged before me
this day ofU 20 by this day of 20 a by
I '
(Name of r on acknowledging) (Name of son acknowledging)
(Signature of Notary P blic-Stafet6f Florida) (Signature of Notary Public-St he of Florida)
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Produced Type of Identification Produced
Commission No. Commission No. �"4O� Notary Pub �g¢� of Florida
a a Public State of Ron a Antonia M Paula
u Notary v
a4 My Commission FF 19
v My commission FF 191201
PFW Aires 272019
Revised 07/1 2 o Expires0 212712 01 9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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DATE
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