HomeMy WebLinkAboutappAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:. •� 9 Permit Number: - (3 Sup
RECEIVED
eD
JUN 26 2019
Building Permit Applicatio
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
i ; 2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Generator
l, PROPOSED IMPROVEMENT,LOCATION' k
Address: 3212 Live Oak Ln
Property Tax ID #: 243050200550008 Lot No.55
Site Plan Name: Bennett Block No.
;Project Name: Bennett
i[ E(iAl'LED"'DESCRIPTION OAF WORK
Supply and install 22kw generator with 150 amp service entrance rated transfer switch with load sharing modules
.CQNSTRUCTIQN INFORMATION:
i
Additional work to be performed under this permit -check all that apply:
1 —Mechanical — Gas Tank — Gas Piping — Shutters
Electric — Plumbing — Sprinklers ✓Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 10,595.00 Utilities: Sewer Septic
Windows/Doors
Roof Pitch
Building Height:
O.WNE'RAESSE`E
s'CO'Nl RACTOR
Name
Name: f iG�xm aA
Address:
Company:�I�1
City: �(�� Recce State:
Zip Code: ' j ff f C Fax:
Phone No. 79-. "gI6•-46ia
Address q9,5_ 'B4Ad)( J�j
r
City: o(A R- Cce-Stater
Zip Code: "�Z44 (� I Fax: _�)19447W
Phone No 7-72_-- i `loet '—
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail rit •(.(6p1
State or County License 6G160 l i�
n vauC vi wnauuujon is acwu or more, a KLLUKULU Notice or commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
'i
I I
SUPPLEMENTAL CONST.,RUCTION LIEN LAW INFORMATION:.
,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
'Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
,OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation 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 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 accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
IThe 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTOQ FINANCING, CONSULT
WITH YOUR LENDER ORAN ATTORNEY BEFORE RECORDING YOUR NOT CE OF COM CEMENT."
Signature of 0 ner Les ee/Contractor as Agent for Owner
Signature of on actor/ 'cense Holder
!;
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �5+- LVLI t
COUNTY OF ��, Lor- G
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of Zune. 20� by
this day of SU" 201T by
iMlC.a1. d A4man
IYgjcw+atn
Name of person making statement.
Name of person making statement.
Personally Known _X OR Produced Identification
Personally Known �>C OR Produced Identification
Type of Identification
Type of Identification
�I
I I
Produced
Produced
I�
(Signature of Notary Public- State of Florida)
Signature of Notary Publi - - -'
v n O LE APONTE
Commission No. .''iY°" (b�J6�®�� A� ®R9T
,,, Bd
,� ,a: MyI�IISSION # FF9830
mission No. / ?:,
1
My COMMISSION # FF9fi
% EXPIRE$ May 04, 2020
" EXPIRES May 04.202
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iev.2/7/19