HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR
Date: 6/4/18
St
Building
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Generator
CATION TO BE ACCEPTED
AWNLU Permit Number: 1 Yn(
BY
CIerhint" RECEIVED
rmit Application JUN 0 6 2018
ST. Lucie County, Piprmitting
mercial Residential X
PROPOSED IMPROVEMENT LOCATION:
Address: 13017 S INDIAN RIVER DRIVE JENSEN BEACH, �L 34957
LL �I gal Description
Legal Description:
~ 09 37141 COMM AT PT OF INT ELY R/W FEC AND CIL OLD DEPOT RD
_SD PT BEING PT OF CURVE CONC E, CA 03 DEG 44 MEN 49 SEC, R. OF
2814.93 FT, TH NLY ALG SD ELY R/W AND CURVE184.07 FT TO CURVE
Property Tax ID #: 4509-120-0002-000-7 BNDD POB,TH CONTALG SD ELY R/W N 25 DEG 52 MIN 00 SEC W
104.5 FT, TH N 66 DEG 33 MIN 35 SEC E 805 FT MIL TO WATERS
Site Plan Name: DAWN O'GRADY SEC II FROM POs TH SS 6666 DEEDGE
08 MIN 45 SEC w 81O Ff M/0L TO PPOB
Project Name:
O GRADY GENERATOR SYSTEM (1.84AC) (OR 3970-1073)
Setbacks Front373' Back: 393' Right S�de: 97.5' Left Side: 5.5T
DETAILED DESCRIPTION OF WORK: I _ I
INSTALL NEW CUSTOMER OWNED 25 KW
ON NEW PAD BY OWNER.
TOR AND 200A SE TRANSFER SWITCH
I CONSTRUCTION INFORMATION: I I
PWIAILIVI 101 WWI M � �[n Gas Tank [:]Gas Pipin _Shutters a Windows/Doors
0HVAC
RiElectric 0 Plumbing Sprinklers g Generator ORoof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2,200.00 Uti ities.. Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name DAWN O'GRADY
Name: JAMES REISNER
Address: 13017 S INDIAN RIVER DRIVE
Company: JIM REISNER ELECTRIC, LLC
City: JENSEN BEACH State:FL I
Address: 4886 SW HONEY TERRACE
Zip Code: 34957 Fax:
City: PALM CITY State: FL
Phone No.(954) 805-1512
Zip Code: 34990 Fax:
E-Mail: rehabdog1@att.net
Phone No. (772) 260-0732
Fill In fee simple Title Holder on next page ( if different
E-Mail: jamesreisner@bellsouth.net
from the Owner listed above)
State or County License: EC-0002442
If value of construction is $2500 or more, a M.UKUtU Noure T L.ommencemenL 1a rcyun eu.
C:2I re,0.`l* 1IRf�f_-
SUPPLEMENTAL CONSTRUCTION LIEN LA INFORMATION:
DESIGNER/ENGINEER: _ Not Applicabi'e
Na Av
Addres 34957
City�H State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
Name: i
Address:
City: R� State:
Zip: Phone:
I
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress: 4886 SW HONEY TERRACE
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
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 has commenced prior o the issuance of a permit.
St. Lucie County makes no representation that is granting a ermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Assoc ation rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners AssociatiolI n 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 fminancing, conswith lender or an attorney before
.,.,.•;-- SA.nrL nr rn&-nrtiinn n unr Nntira of r mpnrapnt
Signatur Owner/ Lessee/Contractor as Agent for Own 'r
Si a re of Contractor/License Holder
STATE OF F ID
S TE OF F O s -
COUNTY OF
COUNTY OF
The for ing instrument was acknowledged before me
20 by
The f going instrument w s cknowledged before me
this day of 20 by
this day of
Name of person making statement
Nam of person making statement /
Personally Known OR Produced Identification
Personally Known OR Produced Identificationy
Type of IdentificA ^
Type of Identification
,ion
Produced L—
V01 ub
Produced B
UM I
(Sign ture of Notary Public- State of Florida)
(Signatu No ary ublic- State of Florida )
CoLL
m ission No. -
tlig l6, 4opUR
. miss on No. (Seal)
_L �
K Notary
Notary PabllA,+t�
Pu
of Flor
POPIRSE N. LLAPUR
dallotary Public, Stile of FloridMy
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REVIEW
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REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17