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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED �
Date: ���—U v' Permit Number: ry�v `�'~ _�e
JUN 9 4 2019
__-____ Purmitting Dnp� ment
Building Permit Application St. Lucie County
Planning and Development Services
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
dress: 20 Netherby Ave Jensen Beach, FL 34957
;a I Description: RES/D OF 9/10-3741 FROM INT OFN LI LOT 2 AND E RNV FEC RR RUN E ALG SD N L1100 FT TO POB, TH CONT E 120 Fr. TH SELY 170.49 FT TO CIL PRIVATE RD.
RUN SWLY ALG CURVE CONC TO N, CA 8 DEG 19 MIN 10 SEC AND R 531.64 FT 77.21 FT TO P OF T, TH W 35 FT M/L, TH NWLY 177.81 FT TO POB (OR 567-958: 1189-2342)
Tax ID #: 4509-801-0004-020-7
Plan Name:
2ct Name: Swaringen
Setbacks Front 59 Back: 30 Right Side: 15 Left Side: 10
Lot No. 2
Block No.
pply and install a 22KW Generac Generator with-(1) 200amp Automatic Transfer Switch
Additional work to be errormed under tnis permit — cneCK an apply:
1]HVAC Gas Tank Gas PipingIn a _ Shutters Windows/Doors
ZElectric Plumbing Sprinklers U Generator Roof Roof pitch
Total Sq. Ft of Construction: 1608 S Ft. of First Floor:
Cost of Construction: $ 9714 Utilities: Sewer 0 Septic Building Height:
Name Mimi Swaringen
Address: 20 Netherby Ave
City: Jensen Beach State: FL
Zip Code: 34957 Fax:
Phone No.
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
Name: Sam Crane
Company: Sam Crane Electrical LLC
Address: 3324 SE Gran Park Way
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-223-8865
E-Mail: samcraneelectric@yahoo-com
State or County License: EC0001986
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
i 1Y
Ki
vnm
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:'
City: State:
Zip: Phone:
Zip: Phone:
EEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
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 and covenants that may restrict or prohibit such
Istructure. 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 an attorney before
commencing work or recording vour Notice of Commencement.
as Agent for Owner
STATE OF FL
COUNTY OF
The forgoing instrument was acknowledged before me
this24 day of 1%A n f_ . 20 tJ__by
Robed' 5 C,(Qne
of Nd`tafy Public -State of Florida )
Personally Known OR Produced Identification ✓
Type of Identification ProdL Produced G (, TA
d
Commission No. GG 01 am erd
Wal)
to of ftdl
r s
Signature of ontractor Lice a Holder
STATE OF FLORIDA
COUNTY OF JAg r i n
The forgoing instrument was acknowledged before me
this lj_ day of UtA&e 20 )q by
k6ec� S Cam
(Name f person ack wledging )
(Sign f
ure of Notary Public- State of Florida) /
Personally Known OR Produced Identification y
Type of Identification Produced
Commission No. GG G1530 (Seal) RX Grd
,�j2ft1f Notary Public
--.., � w,UW var'fJ4"t _%W_ *C0nnnW0n E #ft 01124121
Revised 07/ 15/2014 c4mum No. GG 6530 WRIII ian No. GG 65309
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