HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c1
Date: 31 S 10 Permit Number:
RECEIVED
- - - - ---- - Building Permit-Applicati n MAR ®_6-H19- _ ..
Planning and Development Services
Building and Code Regulation Division ST. Lucie 6ounty5 PeFiiAMA19
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator AI.HIWVtU III
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Address: 6106 Raintree Tr Fort Pierce, FL 34982
Legal Description: INDIAN RIVER ESTATES -UNIT 09- BLK 83 LOT 17 (MAP 34/11S) (OR 2189-1715: 2346-2518)
Property Tax ID #: 3402-610-0369-000-0 Lot No.17
Site Plan Name: Block No. 83
Project Name: Cortie o�
Setbacks Front ) Back: Gj; 1 Right Side: 63 Left Side: 9 .
Supply and install 16KW with (1) 150A Automatic Transfer Switch
DHVAC LiGasTank
0✓ Electric 0 Plumbing
Total Sq. Ft of Construction: 929
Cost of Construction: $ 9450.00
Piping ❑_Shutters ❑Windows/Doors
nklers Generator Roof Roof pitch
Sq �Ft. of First Floor: _
Utilities: L-1 Sewer []Septic
Building Height:
Name Sherrie K Corti
Name: Sam Crane
Address:6106 Raintree Tr
Company: Sam Crane Electrical LLC
City: Fort Pierce State: FIL
Zip Code: 34982 Fax:
Phone No.
Address: 3324 SE Gran Park Way
City: Stuart State: FL
Zip Code: 34997 Fax:
Phone No. 772-223-8865
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: samcraneelectdc@yahoo.com
State or County License: EC0001986
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
' L INFORM
DESIGNER/ENGINEER: _ Not Applicable
Name:
+:I ME
MORTGAGE COMPANY: _ Not Applicable
Name: -
Address:
Address:
City: State:
Zip: Phone: _
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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
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 an attorney before
commencing work or recording vour Notice of Commencement.
S
Signature of Owiner/Lesselel5tractor as Agent for Owner
Signature of Cont ctor/License o d
STATE OF FLORIDA
COUNTY OF no-)-, I-)
STATE OF FLORIDA
COUNTY OF
The forggoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of '`"ka <—t 20 Eby
this 5-day of /"la • c-� 20 [�7 by
�S
VE6 Ljt C rck
(Name of person acknowledging )
(Name of person acknowledging)
01
(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida )
Personally Known OR Produced Identification
Personally Known OR Produced Identification L�
Type of Identification Produced fV— C-4;� C_
Type of Identification Produced �Lh t _
Commission No. G_ (5 Ib6L 2r�(Seal)
Commi iu U0_�' G / � - Sal)
^•• ESABENNIGAN
?�irF.a eve:_ TERESA BENNIGAN
s,�;4' Notary Public —btate at nul— V Commissior=GG 167257 r II
Revised 07/ 15l20 4• . Commission GG 167257 ; My Comm. Expres Dec 29 2C2'
` �,-' My Comm. Expires Dec 29.2021 "°.;�oF ��ty aroJan na;c�a uca-. a:==
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