HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLLIIjCA LE IN�FF0 UST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �f
Date: / I� J Permit Number:
;---_ RECEIVED
IT
Building Permit Application SEP 2 8
Planning and Development Services ST. Lucie County, PerMtt OO
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
4ii.�3.+i':
Address: I U SI° m 1 n of ; t-)i''
Legal Description: SORORA GROVE LOT 7 AND W 1/2 OF LOT 8 (0.33 AC) (OR 269-2310)
3409-802-0007-000-5 8VANMU 8
Property Tax ID #: Lot No.
902 SEMINOLE DR Site Plan Name: p w #,%AUnB,lock No. -
Project Name: WALTER'S GENERATOR
Setbacks Front Back: Right Side; Left Side:
Install 22KW Generator Guardian Series with a 200 Amp Service Rated Automatic Transfer Switch
nai worK io De perrormea unaer finis permit —
HVAC LJ Gas Tank UGas Piping
Electric ❑ Plumbing Sprinklers
Total Sq. Ft of Construction: _
Cosit of Construction: $ 2300.00
L _1 Shutters
Generator
S Ft. of First Floor: _
Utilities: Sewer Septic
Windows/Doors
Roof Roof pitch
Building Height:
C
..
IVTRACTOR F " `
.:.
Name
Address: �.5c�,r
Name:
Company: Matthew Raulerson, Inc.
City: ii State:FL
Zip Code: 34982 Fax: - //
Phone No. - 77 2—a.0 I — I `7 %
Address:
City: State: FL
Zip Code: 34982 Fax: 772-210-5928
Phone No. 772-216-0446
E-Mail: -
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)'
E-Mail: Mraulerson@theexperts.biz
State or County License: EC13008220
If value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
�t
DESIGNE
Name:_
Address:
City: _
Zip:
NTAL CONSTRUCTION LIEN LA1N.1
NGINEER: _ Not Applicable
State:
Phone.
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
ORMATION
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
7WNFR/ CONTRACTOR AFFIDVIT: Annlication is herehv made to nhtain a nPrmit to do the work and installatinn 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 an 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 attorney before
commencing work orscording vour Notice of Commencement. //
Signature
tractor 6s Agent for Owner I Signature of Contractor/License Ho
STATE OF FLORIDA STATE OF FLORIDA ,
COUNTY OF 5h-. --y��e �COLINTYOF -6-il
The foing instrument was acknowledges before me
this ar oday of S-e P b 20]_ by
V'►3a,n
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced �-L f) L—
(Signature of NotaryPublic- St �.MPRt OO
p" ,1Fd1�SS10N# t�g 2020
M for
Commission No.@6tne�p�blcD
. ..a_ ��plotanD
.Ysr. _Qe Bonded
REVIEWS I FRONT ZONING
COUNTER REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
The for s
oing instrument was acknowledge before me
thisZ4 day of •K.A , 20_K by
iN,M, h V%-Q W (k ( is a r
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced F-1,' 0 L
(Signature of Notary P6blic-
n
RIE we's
` 2023
MIAISSION� 2020
EXPIRES: Deco 11s0
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SUPERVISREVIEWOR I REVIEW PLANS I V REVIEW I SEA REV EWLE I MREV EWVE