HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR34POMF[055 V TO BE ACCEPTED _ .Iqg
Date: Sf. Lucie Countyy BY Permit Number:PA �'I
RECE1VE �_.._____-
Building Permit Application JUN 2 8 2018
Planning and Development Services ST. Lucie Count Building and Code Regulation Division y, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982 -•I
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
IIII PERMIT APPLICATION FOR: Generator
11!11'PROPOSEDAd5IMeROVEMENT'LOCATIOW
Legal Description:
Property Tax ID #: 1313-502-023-000-2 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
[DETAILED DESCRIPTION OF WORK:
and install a 22kw generator and transfer switch
CONSTRUCTION INFORMATION:
Additional work to e e orme under this permit —check a apply:
�HVAC 13 Gas Tank []Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers 0 Generator E]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10,000.00
S Ft. of First Floor: _
Utilities:ll Sewer E]Septic
Building Height:
OWNER/LESSEE:,'
CONTRACTOR:
Name David Warner
Name: Lawrence Stubbs
Address:5203 Deer run
Company: S&W Electric Inc
City: Ft,Pierce State:A
Zip Code: 34951 Fax:
Phone No.772-519-0384
E-Mail:
Address: 501 West Coker Road
City: Ft Pierce State:FI
Zip Code: 34945 •Fax:
Phone No. 772-464-6466
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: stuboutelectric@aol.com
State or County License: 29442
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
C. J
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION::
DESIGNER/ENGINEER: _ Not Applicable
N am e: David Warner
MORTGAGE COMPANY: _ Not Applicable
Name: Lawrence Stubbs
Address:5203 Deer Run
City: Ft Pierce State:
Zip: Phone
Address: 5203 Deer run
City: Ft Pierce State: "
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:501 West Coker Road
City:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 firs inspection. If you iDr�tend to obtain financing, consult w' h lender or an attorney before
commencinork or recoWinla)rf6ur Notice of Commencement. V /J
of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA�
COUNTY OF
The forgoing instrument was acknowledged before me
this day of t 11we- 20_ by
Name of person making statement /
Personally Known OR Produced Identification
Type of Identifcation
(Signature of Notary Public- State of Florida )
Commission N
�•"rv'%KAREN S. NIELSEN
State of Florida -Notary Pub
9mmission # qQ 20748,
y Commissio Expires
REVIEWS FR� 1'%_Z_OMNG12. 3 09(?PERV
RECEIVED
DATE
COMPLETED
Rev.8/2/17
Srenature of Contractor/License Holder
STATE OF FLORIDA _
COUNTY OF The for ing instr ment was acknowledged efore me
thisn day of 204by
Name of person making statement
Personally Known OR Produced Identification 41/
Type of Identif';eaWi n
Produced +_ / , QL.
(Signature of Notary Public-- State of Florida )
Commission No. (Seal)
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