HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED
Date:
APPLICATION TO BE ACCEPTED %�
Permit Number: i 1� 03 `�
Ll
SlJuAv�NbNJ RECEIVED
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St L��i,td,ing,Permit Application MAR 16 2018
Planning and Development Services Pwmidbq Department
Building and Code Regulation Division
. Wwrile County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential xxx
PERMIT APPLICATION FOR: Generator
PROPOSED: IMPROVEMENT LOCATION:..
Address: 12274 Cessna Ter, -Port ST Lucie, FL34987
Legal Description:
�Prope y Tax ID #: Yl p (_1 V 1— 000 1 J U) — U0 Lot No.
Site Plan Name: Block No.
Project Name: Kathy & Paul Ames
I
Setbacks Front Back: i fight Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install Generator and Slab
-CONSTRUCTION INFORMATION:
Additional work to jbe nertormed under this permit— check
all
that app y:
11HVAC
LJ
Gas Tank
❑Gas
Piping
Shutters
Windows/Doors
❑Electric Cl Plumbing
[]Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
Cost of Construction:_$-L� (1 M�. ��)
Utilities:
_Sewer
❑Septic
Building Height:
OWNERAESSEE:
1
CONTRACTOR:
Nme,- _ =- - e
-a �� 3
FL
Name:r Robert Sam Crane
_
Address: ��a74LI C{�n� �.V
City: State:
Company: Sam Crane Electrical,LLC
Address: 5458 SE Major Way
Zip Code: Fax:
Phone No.
E-Mail:
City: Stuart State: FL
Zip Code: 34997 Fax: (772)600-5515
Phone No. (772)223-8865
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: samcraneelectric@Yahoo.com
State or County License: Florida EC0001986
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name: Robert Sam Crane
Address:
Address: 1=74 Cessna Ter Port ST Lucie, FL34987
City: State:
City: Stuart State:
Zip: Phone:
'
Zip: Phone
I
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:5458 SE Major Way
City:
Zip: Phone:
Address:
City:
Zip: Phone:
I
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 pe emit, 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 vour Notice lof Commencement.
Signature of Owner/ Lessee/Contractor as Agent four
Owner
Signature of ontractor/L• me Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF --
The forgoing instrument was acknowledged before
this day of , 20_ by
The forgoing instrument was acknowledged before me
this 13 day of March , 20/8 by
me
Name of person making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known xx OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced EC0001 es
xx",/ Y6,
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
(Sign t of N
Commission No
Sw �Yg; USA M. LEBRECHT
_'*; +; MY COMMISSION I
=7'•E XP 1 A ES: May 27,12019�
B.Bonded Thm Notary Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17