HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
4LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION. TO BE ACCEPTED
Date: I l' 1 9 �' Permit Numbe
A
Building Permit Application
Planning and DeveloprrientServices
.Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce A 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re
PERMIT APPLICATION FOR: Generator
IfECEIVED
NOV 19 2018
Permitting Department
St. Lucie County, FL
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Address: 31.12: NW Radcliffe WAY Palm City, FL 34990 SCANNED
Legal bescription: RIVERBEND (PB 67-36)- LOT 22 BY
u e CountY
Property Tax ID #: 4425.703-0027-000-0
Site Plan Name:
Project Name: Guerin
Setbacks Front 732 Back: 292.8 Right Side: 86-4 Left Side: 10.8
Lot No. 22
Block No.
supply, and install a 22KW Generator with (2) 150A Automatic Transfer Switches
J� F _e
�✓ Electric 0 Plumbing
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Total Sq. Ft of Construction:
Cost OConstr6ction: $ 120
Sprinklers
L _J Shutters
ElGenerator
QWindows/Doors
FIRoof
3625 S . Ft. of First Floor:
60 Utilities:lSewer ElSeptic Building Height:
Roof pitch
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CONTRACTOR
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Name �-r
Name: Sam Crane
Address: ' r
Company: Sam Crane Electrical LLC
City: n\rye � earl State:
Address: 3324 SE Gran Park Way
Zip Code: ;!:H 1 0 Fax:
City: Stuart State: FL _
Phone I o.
Zip Code: 34997 Fax:
Phone. No. 772-223-8865
E-Mail;
Fill in fee. simple Title Holder on next page ('if different
E-Mail: samcraneelectric@yahoo.com
from.thle Owner listed above)
State or County License: EC0001986
it value I t construction is $2500 or more, a RECORDED Notice of Commencement is required.
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:
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,'byiaws 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.
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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.
a= - -
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re of Owner/Lessee/Contrac r.as Agent for Owner Si nature o ontr Lic s older
STATE OF FLORIDA
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STATE OF FLORIQ�q K-�fl
COUNTY OF ter,
o y
COUNTY OF I I 1
The forgoing instrument was acknowledged before
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The f rig instrument was a knowledged before me
this )I ` day of /I/ G V 20 ! L by
m
this )' day of
20 q by
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m- E o
person acknowledging
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of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identification Produced . . r_�-n
Commission No. �.` '72`�7 (Seal)
07/15/2014
' (Name often acknowledging )
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(Sigdature oo6tary PuTlic- State of Florida) o e e
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Personally Known 1" OR. Produced Identified 'on
Type of Identification Produced 4z7 4
Commission No.1"�-� l� (Seal)Oh,
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE.I
COMPLETE
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INITIALS
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