HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3/27/2018 f%AMIrr. n Permit Number: 1 UU I , �v� / mr1p
APR (04
St Ludo Coo*
Permit P#
Building Permit Application St. L���
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 12780 NW MARINER CT PALM CITY, FL 34990
Legal Description: MARINER VILLAGE HARBOR RIDGE -PLAT 4-UNIT 19 (or 2008-787:2761-2291)
Property Tax ID #: 4425-603-0031-000-4
Site Plan Name: RIED RESIDENCE
Project Name: RIED GENERATOR SUSTEM
Setbacks Front52' Back:72'
DETAILED DESCRIPTION OF WORK:
Right Side: 8. Left Side: 98,
Lot No.19
Block No.
SUPPLY & INSTALL A NEW 22 KW GENERATOR, 200 A SE TRANSFER SWITCH ON A NEW 40"
X80"X6" THICK CONCRETE SLAB (JEFF PAULY CONSTRUCTION PERMIT)
CONSTRUCTION INFORMATION:
Add itiona I work to be nej orme under this permit — check a apply:
1]HVAC LJ Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
ZElectric 0 Plumbing ❑Sprinklers g Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 14,320.00
S Ft. of First Floor: _
Utilities: Sewer E]Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameSUSAN I RIED
Name: JAMES REISNER
Address:12780 NW MARINER CT
Company: JIM REISNER ELECTRIC, LLC
City: PALM CITY State: FL
Address: 4886 SW HONEY TERRACE
Zip Code: 34990 Fax:
City: PALM CITY State: FL
Phone No. 772-285-2530
Zip Code: 34990 Fax:
E-Mail:susanded@hotmail.com
Phone No. 772-260-0732
E-Mail: jamesreisner@bellsouth.net
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
State or County License: EC-0002442
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
i
_ Not Applicable
Name T o
Addr
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable'
Name:
Ad d ress: 4886 SW HONEY TERRACE
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Names
ress.-dRew-
Cityz-yz- +! State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
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 eepresentation 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/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The forgoing instrument was acknowledged before me
this day of , 20_ by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida )
Commission No. (Seal)
REVIEWS
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
FRONT ZONING
COUNTER REVIEW
C
re of Contra'Efo-r/License
STATE OF FLORIDA � �/I
COUNTY OF ICJ �
The forgoing instru nt was cknowledge efore me
this day of rr 20 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identiflfation
Produced i::1,
N A tx�do 41�1 ft "JW
(Si nature of Notary Public- State of Florida
Co mission No. q D% 4 4 4 7 m�
M, LLAPUR
g Notary Public, State of Flo
rr_sa Commission# FF 92844
SUPERVISOR
I PLANS REVIEW I VEGETATION EV EW( REVIEW REVIEW