HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONSCANNED
BY
St. Lucie Coati
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Applicati n AUG 16 2018
ing and Development Services
ng and Code Regulation Division Permitting Department
Virginia Avenue, Fort Pierce FL 34982 St. CC U n t �L
e: (772) 462-1553 Fax: (772) 462-1578 Commercial yr
PEiRMIT APPLICATION FOR: Generator
;RIPQSED,IMPR01fEMENT LO'CATIO(U
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Iress: 39 LAS (a.SIfQ,S a (row+ K/vice, 1CL i NctCC
Legal Description: SPANISH LAKES COUNTRY CLUB VILLAGE LEASEHOLD ESTATES (OR 2389-639) THAT PART OF SEC AS SHOWN
IN ! R 2389-639 BEING LOT 38 LAS CASITAS (0.10 AC-4,356 SF) (OR 3808-2115)
Pro:)erty Tax ID #: 1301-500-0757-000-3 Lot No.38
l
Sitq flan Name: Generator Install Block No. "�`"S'T"5
Prod ct Name: Giordano
Setbacks Front Back: Right Side: Left Side:
Installing 20 kw Generac Generator with a 150 AMP Transfer Switch.
li Res r ►�» i � 1 �d �' 01��� ,
Additional work to be nertormed under this permit— check all apply:
M1 HVAC I� J Gas Tank []Gas Piping Shutters
III Electric 0 Plumbing Sprinklers FV] Generator
Toth Sq. Ft of Construction: S . Ft, of First Floor:
Cosh of Construction: $ 16,057.00 Utilities: Sewer Septic
aWindows/Doors
Roof Roof pitch
Building Height:
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Name: �10 In ✓x A Pav► Icy-a2
33 LaS (A&Rca
Company: Elite Electric and Air
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I ode: 34W I Fax:
No.
Address: I&II SW S. (kcecia r3(ycl
City: _Ppv� 96wi4-Lqc e State: FL
Zip Code: 34984 Fax: 772-340-3702
Phone No. 772-340-3797
fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: Permits@eliteelectricandair.com
State or County License: EC13006036
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SIGNER/ENGINEER: x Not Applicable
MORTGAGE COMPANY: Not Applicable
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me:
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Name:
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Address:
dress:
City:
City: State:
State:
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Phone
Zip: Phone:
F
: E SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
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me:
Name:
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dress:
Address:
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City:
i Phone:
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Zip: Phone:
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OWNER/ �
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I c
tify that no work or installation has commenced prior to the issuance of a permit.
St. I
wh
ucie County makes no representation that is granting a permit will, authorize the permit holder to build the subject structure
h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
str'
ture. Please consult with your Home Owners'Association and review your deed for any restrictions which may apply.
In
I nsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in
cordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Th'
following building permit applications are exempt from undergoing a full concurrency review: room additions,
aca
ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING A
TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
im"
irovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
be':fore
the first inspection. If you intend to obtain financing, consult with 'lender or anattorney before
co
i imencing work or recording our Notice of Commencement.
Si
na a of 0 ne Lessee/Contractor as Agent for Owner
Signature f Contr or/Li rise Holder
SLATE
OF FLORIDA
STATE OF FLOR
Ci
UNTYOF Sr uc—L-r
COUNTY OF Sr Luc t
T
e forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
t
s 21 day of lot," 20 N by
this 21 day of 'SOL'1 20 17 by
504,3 PA-0td-air-L
-SON-P 9/}0IC2AY7
Name of person making statement
�rsonally
Name of person making statement
P'
Known OR Produced Identification
Personally Known k OR Produced Identification
TI
pe of Identification
pe of Identification
of
P
duced "': •. KOMI LENAEDEWITT
+��• ;`r • : Notary Public— State of Flori
•���' •' commission # GG 166915
P """"" • NNI LENAE DEWITT
`� Notary Public— State of Florida
a '�'ui
Commission # GG 166915
P.4y Conim, Cxpires Dec 10, 2
d My Comm. Expires Dec 10, 2021
'•;For++�:Y•' rrndnllinouy;t+MIKuudNDWY
'•!rnn+.
(
gnature of Notary Public- S
(Signature of Notary P
C'
mmission No. C6114011 (Seal)
Commission No. 66 il601K Seal
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'CEIVED
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MPLETED
Rev'I
18/2/17