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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 5/15/18 5GANWtLJ Permit Number: ITO (0- cls3s U� 3Y RECEIVED Building Permit Application JUN 0 7 2018 Planning and Development Services I ST. Lucie County, Permitting 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; (- PROPaOSEq JMPROV.EMENT,, LOCATION ,s a Address: 8481 HIDDEN PINES RD Legal Description: HIDDEN PINES ESTATES BLK B LOT 2 (1.00 AC) (OR 319-1097) Property Tax ID #: 2323-701-0017-000-2 Site Plan Name: NIPPES Project Name: NIPPES Setbacks Front 160' Back: 1 Rio ' Right Side: DETAILED.DESCRIPTION OF WORK.. INSTALLING A 22 KW GENERAC GENERATOR 35—LeftSide: 1 10' Lot No.2 Block No. B I, CONSTR�UCTIOK INFORMATION II ,.. —AdaitionTk to a p�rmeci under this permit — c ec a aD v: 0HVAC ElGasTank gElectric E] Plumbing Total Sq. Ft of Construction: Cost of Construction: $ /`l bq) Gas Piping LJ Shutters Sprinklers Generator S Ft. of First Floor: _ Utilities: Sewer ElSeptic Windows/Doors Roof . Roof pitch Building Height: "' OWNER/LESSEE >f CONTRACTOR: NameJOYCE NIPPES Name: JOHN A PANKW Address:8481 HIDDEN PINES RD Company: ELITE ELECTRIC AND AIR City: FORT PIERCE State:FIL Address: 1691 SW SOUTH MACEDO BLVD Zip Code: 34945 Fax: City: PORT ST LUCIE State: FL Phone No.772'465-0143 Zip Code: 34984 Fax: E-Mail: JOYCENIPPES@YAHOO.COM Phone No. 772-340-3797 Fill in fee simple Title Holder on next page (if different E-Mail: PRMIT@ELITEELECTRICANDAIR.COM State or County License: EC13006036 from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP,P,LEMENTAL,CONSTRUCTLON LIEN LAW INFORMATION DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable N a me: JOYCE NIPPES N a me: JOHN A PANKRAZ Address: 8481 HIDDEN PINES RD Address: 8481 HIDDEN PINES RD City: FORTPIERCE State: City: PORTSTLUCIE State: Zip: Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Name: Name: Address: Address:1691 SW SOUTH MACEDO BLVD City: City Zip: Phone: 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 representation 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 vour Notice of Commencement. Signat a of Ow e / Lessee/Contractor as Agent for Owner Signatu a of C ntra or/License Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF-L.C1E COUNTY OF --- The The forgoing instrument was acknowledged before me The for ing instrument was acknowledged before me Zuday this 2Z day of NAA'1 20 It by this of t 4 it11 , 20 �`� by JOHN A PANKRAZ JOHN A PANKRAZ Name of person making statement Name of person making statement Personally Known /kl-- OR Produced Identification Personally Known k OR Produced Identification Type of Identification Type of Identification Produced Produced 0 do;&;;1YF�; Df_WITT �o N;Y;;;-• KONNI Me _ �''� w�.11 Notary Public— State .r Flom= • KONNI LENAE DEWITT � . . �� = Notary Public — Stale of Florida _ •�� `Y Commission # GG 166915 jytl Commission # GG 1669Ib (Signature of Not X%_Irc"�StdWoftldrftilNotaryAssn. (Signature of Notary P li "'', ,;$t ''of ��i14, ,N,,,;n,4,,r,,;,,,,yr�; , Commission No. G61b(ei `S (Seal) Commission No. G61 b (o �! / S (Seal) REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED lev. 8/2/17