HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
August 24, 2018 300
11 Dad 9 �CAI111\4E�Permit Number:
BY
MUM
i St Lucie County
RECEIVED
Building Permit Application
Planning and Development Services SEP 1.41016
ng and Code Regulation Division Permitting Department
Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PE
E
MIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
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Address: 12158 Riverbend Road, Port St. Lucie, FL. 34953
11
Descrlptlon: 223740THAT PART OF GOVI" LOT 3-LESS TO SFWMD FOR C23- DESIGNATED AS TRACT'D'AS SHOWNIN PB 253BB AND BEING NOT APART OF THE PLAT TO ESMT TO C ANDSFFCD)(1.2BAC)(OR 4111-1325)
Lega
Prol
Site
Proj
Setl
rty Tax ID #: 4422-133-0001-000-4
an Name: Bill Wax
;t Name: Bill Wax
cks Front Back:
Right Side: Left Side:
Supply and install 22KW generator and (2) 200A Transfer Switches
Ft[&fi2 work t0 be nerroFmed
HVAC _ Gas Tank
Electric Plumbing
Totai� Sq. Ft of Construction:
Cost of Construction: $ 11200.00
Lot No.
Block No.
unaer tnis permit — check all tnat apply:
❑Gas Piping Shutters Windows/Doors
11 Sprinklers Generator Roof Roof pitch
S Ft. of First Floor: _
Utilities: Sewer []Septic
Building Height:
Name Brigantine, LLC Bill Wax Name: Sam Crane
Address: 12158 Riverbend Road Company: Sam Crane Electrical LLC
City: l Port St. Lucie State: FL Address: 3324 SE Gran Park Way
Zip ', ,l ode: 34963 Fax: City: Stuart
Phone No. Zip Code: 34997 Fax: _
E-MI, il: Phone No. 772-223-8865
Fill i� fee simple Title Holder on next page ( if different E-Mail: samcraneelectric@yahoo.com
fro ffI the Owner listed above) State or County License: EC0001986
I
If valbe of construction is $2500 or more, a RECORDED Notice of Commencement is required.
State: FL
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DES'I'GNER
ENGINEER: Not Applicable
MORTGAGE COMPANY: Not Applicable
Na
_
Vie:
_
Name:
Addless-
Address:
Cityj
City: State:.
State:
Zip:
Phone:
Zip: Phone:
FEE
IMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Nale:
Name:
Add
Address:
1 ess:
City
City:
II Phone:
Zip: Phone:
Zip:
ce
!fy that no work or installation has commenced prior to the issuance of a permit.
St. Lt
whic
cie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strud'ure.
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In co
isideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ac
ordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
I{
The f
(lowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acce�
�Sory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAl
improvements
NING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
to your property. A Notice of Commencement must be recorded and posted on the jobsite
bef
re the first inspection. If you intend to obtain financing, consult with lender or an attorney before
corn,
encin work or recording our Notice of Commencement.
<— s
Sign
Signature of Contra icense Wder
ure of Owner Less on ctor as Agent for Owner
STA
E OF FLORIDA
%�
STATE OF FLORIDAa
COI
NTY OF
COUNTY OF
The
orgoing instrument was acknowledged before me
The forgoing instrumen was acknowledged before me
this
� ; day of 2W by
this % day of 20 19 by
3_ A�CC P
(Nankeofperson
acknowledging)
(Name of person acknowledging)
�
(Sig
'ature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
Pers
Wally Known OR Produced Identification
Personally Known OR Produced Identification
Type,
iof Identification Produced
Type of Identification Produced��
Comb
ission No. (Seal)
Commission No.
,•25�aY'�s� •: TERESA BENNIGAN
: Notary Public
o
, ` L - State of Flori
Notary Public- State of Florida -"� a?°'.MY Comm. Ex 167257
• of «,; pins Dec 29, 2021
'sed Commission
Re
III
07/ 15/20 # GG 167257 Bonded;hrou®h Notions! NowryA9fn,
My Comm. Expires Dec 29.2021
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HEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
RE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DAT
COMPLETE
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