HomeMy WebLinkAboutBUILING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: SCANNED
BY
o St Lucoe Goun$v
Buildini
CATION TO BE ACCEPTED at5_053�9
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Permit Number:
Permit Application
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
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PERMIT APPLICATION FOR: Generator
'
PROPOSED.]
Address: 7590 Gullotti PL. Port StLucie. FL, 34952
Legal Description: ST LUCIE GARDENS 24 36 40
3 N 330 FT OF LOT 12
Property Tax ID #: Parcel #3414-501-1112-050-8 Lot No.
Site Plan Name: Block No.
Project Name: McKinney Residence
Setbacks Front Back: Right Side: Left Side:
DETAILED DES'CRh 'TION OF WORK: '
Supply and Install 22 KW Generac Generator 200 Amp Automatic Transfer Switch, concrete pad and
all necessary components for a fully automated back up power system.
CONSTRUCTION INFORMATION;
I.
Additional work to be performed un er
❑HVAC D
t Is per
Ga
It — check
sPiping
a
apply:
Shutters
a Windows/Doors
Gas Tank
—
11 Electric ❑ Plumbing
E]Splinklers
R1 Generator
El Roof Roof pitch
Total Sq. Ft of Construction:
9,265.00
Sq. Ft. of First Floor:
0Septic
.1
Cost of Construction: $
Utilities:
I
Sewer
Building Height:
01NNER%LESSEE: ` - : f , . ,'-CONTRACTOR:
Name DARLENE MCKINNEY _. I
Name: ROBERT SAM CRANE
Address: 7590 Gullotti PL. I
Company: SAM CRANE ELECTRICAL, LLC
Address: 5458 SE Major Way
City: Port St Lucie State: FL
Zip Code: 34952 Fax:
Phone No. (772) 344-3513
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. (772)223-8865
E-Mail:
I
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: MARTIN
If value of construction is $2500 or more, a RECORDED Notice of Commencement is regwrea.
so
M
SUPPLEMENTAL CONSTRUCTION LIENr
._ r ,.
LAIN INFORMATION f
... _ r .
.. -
DESIGNER/ENGINEER. _ Not Applicable
Name:
Address:
City: Stat
Zip: Phone
I
TName:
MORTGAGE COMPANY: _ Not Applicable
I
'•
Address:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: — Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address: �
City:
Zip: Phone: I
Address:
City: --
Zip: Phone:
I
OWNER/ CONTRACTOR AFFIDVIT: Applicatio is hereby made to obtain a permit to do the work and instaliation 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 gralnting a permit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owne?j 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 exembt 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 Reco�d 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
.L rrlinrt wi iir i\lntire, of l /�nmmPnrPnnPnt_
C0111111C11W11
Signature of Owner/ Lessee/ContraLftor as Agent
for Owner
Signature of Contractor/License Hol r
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF —
The forgoing instrument was acknowledged befoi`e
this 51"' day of M14Y . 20JI by
me
instrument was acknowledged before me
The for May
this 1day of mot 7 20J? by
(—a. vie-
� be✓-i- ��im Ccrc�inP�
Name of person aking statement
V'y OR Produced Identification
Name of person making statement
Personally Known ✓✓ OR Produced Identification
Personally Known
Type of Identification
Type of Identification
�C OCaO R AO
Produced S (�
Produced
/ J&'V5&k�
(Signature of N
(S' a
?y ., USA M. LEBRECHT
Commission No: ' MYCOMMISSI01� ��
IRES: May 261
187 /
Commis
ti:>sei USA M.LEBRECHT
MYCOMMISSION#FF203187(5 I)
El(PIRES N1ay 24, 2019
24.
Bonded Thru Notary Public Underwriters
I
;y. .�?
Bonded ihru Notary Public Underwriters
,`�'tEVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
-REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17