HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FFO"t LPPPLICATION TO BE ACCEPTED hh
Date: I BY Permit Number: V6;533
St. Lode countv
Building 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 Residential xxx
PERMIT APPLICATION FOR: Generator [71 1
PROPOSED IMPROVEMENT LOCATION:
Address: d 1 1 Q i' f 3 vu S+F 0i P_ pm-m CIL-ti Ft- .34990
Legal Description: HABOUR RIDGEIPLAT 18- DEER MOSSVILLAGE LOT11 (OR 3758-2425)
Property Tax ID #: PC ID# 4426-835=0021-00-7 Lot No.
Site Plan Name: � _f Block No.
,
Project Name: IJ o4-/u i C)C , 1, i¢Ch a r- -i O.-
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install whole house Generator 20KW/200amp automatic transfer switch and all electrical components
fora -fully automated powered system.
CONSTRUCTION INFORMATION:
Additional work to be D rformed
11HVAC
under this permit — check
Gas Piping
all
apply:
Shutters
a Windows/Doors
LJ Gas Tank
_
Electric' ❑ Plumbing
[] Sprinklers
E] Generator
� Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
0Septic
Cost of Construction: $ A968"
Utilities:
Sewer
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name AD%
Name: Robert Sam Crane
Address: /%/ 9 &6V Arl 13UW r/0_,
City: & I State:FL
Zip Code: 34990 Fax:
Phone No.
Company: Sam Crane Electrical, LLC
Address: -5 / 5 9' SE M A Jo a W ff
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. (772)223-8865
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: samcraneelectrical@yahoo.com
State or County License: MARTIN
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name.+
Address:
Address:
City: State:
Zip: Phone
City:— State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone: I
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 ha's 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
bylaws that restrict or such
which is in conflict with any applicable Home Owners Association rules, or and covenants may prohibit
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 our Notice of Commencement.
I
Signature of Cont actor/License Hoy
Signature of Owner/ Lessee/ ntra as Agent for Owner
STATE OF FLORIDA I
STATE OF FLORIDA
COUNTY OFF
i
COUNTY OFN
The forgoing instrurrjent was acknowledged before me
this -/L day of 20 by
The forgoing instrument was acknowledged� pefore me
this 4—clay MAY of A y , 20I Y by
Robert Sam Crane II
Robert Sam Crane
Name of person making statement
Personally Known xxx OR Produced Identification
Type of Identification
Produced EC000198s
Name of person making statement
Personally Known xx OR Produced Identification
Type of Identification
Produced EC00019as
( i at re of Notary i State of Florida)
Si atur of a Public- State of Florida )
USAM.LEBRECHT
Comm igi 203i8T ( al)
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REVIEWS FRONT ZONING SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE.
COUNTER REVIEW REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17