HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONI ,
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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D et; � a31 �� SCANNED Permit Number: yt o l a (�a 4
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RECEIVE®
Building Permit Application AUG 2 3 2018
' Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Pho 'le: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Addn
Legal
Site P
12274 NW Mariner Ct.
HARBOUR RIDGE -PLAT 4- TRACT D (OR 4032-2438)
y Tax ID #: 4425-603-0011-000-8
i Name:
Name: McCoy Residence
Setba., ks Front Back: Right Side: Left Side:
Install, 48KW Generator wired to (2) 200A ATS
Lot No.
Block No.
Additional work to be ertormed under tnls permit— cneck an apply:
gHVAC Gas Tank Gas Piping _M Shutters Q Windows/Doors
Electric Plumbing Sprinklers W1 Generator E]Roof Roof pitch
Total Sq. Ft of Construction: 5224 S . Ft. of First Floor:
Cost If Construction: $ 23485.00 UtilitiesSewer Septic Building Height:
.
NM
1 2 R Mr >'i. y, M1.f ,y,ay�ui✓' al .»yt �
Name: Sam Crane
Name
William H McCoy II Caryl K McCoy
Addrl'fss:
City:'1�alm
Company: Sam Crane Electrical LLC
Address: 3324 SE Gran Park Way
1571 NW Sweet Bay C I R
City State: FL
Stuart FL
City: State:
Zip Code:
34990 Fax:
PhonlL
2
No. -7 1 2
Zip Code: 34997 Fax:
E-M'ail:
Fill i 111
Phone No. 772-223-8865
E-Mail: samcraneelectric@yahoo.com
fee simple Title Holder on next page (if different
from
the Owner listed above)
State or County License: EC0001986
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Names! Name:
Address: Address:
City: State: City: State:
Zip: 141 Phone: Zip: Phone:
I p,l
FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable .
Name Name:
Address: Address:
City: City:
Zip: f Phone: Zip: Phone:
I'I
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucile 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 acc8'r1dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follllowing 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
I
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.
re
STATE OF FLORIDA
COUNTY OF lrfin
as Agent for Owner
The forgoing instrum nt was a <nowledged before me
this __ day of 20 Eby
(Namdlof person acknowledging
(Signature of Notary Public- State of Florida )
Personally Known V/" ORtProdefsedd2P
Type of Identification Produced:
A •c=
11
NqCommission No.
07/15/2014
�— S
Signature of Contractor/Lice of df5ir
STATE OF FLORIDA
COUNTY OF ma.r(�n
The foroing instrument was acknowledged me
this 1? day of Lt.' ,c ,
20 � by
Qdw-,A O-vj\-k
(Name of person acknowledging)
(Signatur Notary' Public- St to of Florida )
nIly Known v OR Produced_Identification
Public - State o QJ� rjf Identification Produced
Commis�00 # FF 9 57
by Comm. Expires May Aar
Bonded through National N tar
we
on No.
1
PETRONA P
UAL
Notary Public - St
of Florid
¢ •= Commission #
995716
MY Comm. Ex ire
y 24, 20,
Bonded
through Nationa
4otary Ass
III
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
�1
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATED]
COMPLETE
INITIALS