HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
8/10/2017
Date. R E C E I V 2 D AUG 10 2017 Permit Number:
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34992
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 7984 Plantaion Lakes Dr
Legal Description:
Property Tax ID #: 3321-803-0023-000-7
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Replace existing 22KW generator on existing slab
Residential x
Lot No.
Block No.
CONSTRUCTION INFORMATION:
ACI(litlOnaiworRt—o—Ee—inerformedunder this permit —check all apply:
�HVAC Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
❑✓_ Electric 0 Plumbing F]Sprinklers ElGenerator Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 2250.00
S Ft. of First Floor: _
Utilities: Sewer 0 Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Beatrice Corace
Name: Lawrence Stubbs
Address: 7984 Plantation Lakes Drive
Company: S&W Electric Inc
City: Port St. Lucie State: FIL
Zip Code: 34986 Fax:
Phone No. 772-429-0026
E-Mail:
Address: 501 West Coker Rd
City: Ft. Pierce State: FL
Zip Code: 34945 Fax:
Phone No. 772-464-6466
E-Mail: stuboutelectdc@aol.com
State or County License: 29442
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
If value of construction is SZ500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
Address: 1
City: State:
Zip: Phone:
i
FEE SIMPLE TITLE HOLDER: _ Not (Applicable
Name: I
Address: I I
BONDING COMPANY: Not Applicable
Name:
Address:
City:
City:
Zip: Phone: 1
1
Zip: Phone:
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
commenOng work or recording your Notice of Commencement.
gnature of Owner/Lessee/Contractq, as Agent for Owner r5ignature of.Contractor7License Holder
STATE OF FLORIDA
STATE OF FLORIDA
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COUNTY OF S'1' • Lt�c-��
COUNTY OF Sk. L Vc %'K
The forgoing instrument was ackn' ledged before me
The forgoing instrument was acknowledged before me
thisk.0 day of 20U—by
this %6 day of q J 20 by
(Name of person acknowledging)
(Name of person acknowledging )
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(Signature of Notary Public- t6 to of Florida)
(Signature of Notary Pub)lc- State of Florida )
Personally Known OR Produced I
Type of Identification ARIS MOM
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Revised 07/15/2014
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS