HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^ �� y rn�
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Date: 3/24/2022 Permit Number:
AS RECEIVED
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Planning and Development Services 5t. Lucie County
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Building and Code Regulation Division (Commercial Residential
2300 Virginia Avenue, Fort Pierce FL 34982 `
Phone: (772) 462-1553 Fax: (772) 462-1578 CBDG Funding
PERMIT APPLICATION FOR: GENERATOR
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Address: 2711 S 19TH ST
Property Tax ID #: 2421-243-0001-000-3 Lot No.
Site Plan Name: Block No.
Project Name: MANSUETTA CR'OWELL
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INSTALL 36KW GENERATOR AND 200ATRANSFER SWITCH
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New Electrical Meter 1 Second Electrical Meter (Affidavit required)
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Additional work to be performed under this permit— check all that apply:
_Mechanical >e G'as Tank ZC Gas Piping _ Shutters _ Windows/Doors _ Pond
X Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq..Ft. of First Floor:
Cost of Construction: $ 21,000.00 Utilities: —Sewer —Septic Building Height:
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Name MANSU ETTA CROWELL
Name: RONALD KINDEL
Address: 2711 S 19TH'ST
Company: RK ELECTRIC LLC
City: FORT PIERCE State: FL
Address: 1537 SW LEXINGTON DR
City: PORT ST LUCIE State: FL
Zip Code: 34982 Fax:
Phone No. 316-249-2795 E-
Zip Code: 34953 Fax:
Mail: tjrausch5l@gmail.com
Phone No 772-344-9155
Fill in fee simple Title Holder on next page (if different
E-Mail RKELECTRICFL@GMAT L.COM
State or County License EC13007108
from the Owner listed above)
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: Not Applicable
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MORTGAGE COMPANY: _kNotApplicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip:
Phone
Zip: Phone:
FEE SIMPLE
TITLE HOLDER: _)s/_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip:
Phone: I
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Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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 conflicts with any applicable Homeowners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Homeowners 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County 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 Contractor - or - Owner Builder as applicable
STATE OF FLOR DA
F� COUNTY OLLt d-i (Z--
Sworn to (or affirmed) and subscribed before me of
�ysical Presence or Online Notarization
this Z-3 day of 11ti� f\C.A+ 20ZZby
ment.
Name of person m:7:
Personally Known R ProducedIdentification
Type of Identification Produced
(Signature of Notary Public- State of Florida)
Commission N — 4QI (Seal)
Notary Public State of Florida
Ronnie Lancaster
My Commiuion GG 919976
p Expires 10/0812023
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Rev 10/11/21