HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: April 1?,, 2019 Permit Number: lq o (�- V OT.
SCANNED
��r r BY
St. Lucie County RECEIVED
Building Permit Application
Planning and Development Services APR 18 2018
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 $1`. Lude County, Permitting
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Generator installation
l?ROPQSI T3iri+}P}tOVEM T tfJCAT1�3N' ' ,; x',' v ' _ $
e.-+ ,aa .?. F.. * _. nx as rri s:
Address: 716 Campbell Road Fort Pierce, FL 34945 "
Property Tax ID #: 2309-432-0002-020-1 Lot No.
Site Plan Name: Block No.
Project Name:
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Installing owner -provided stand by generator and automatic transfer switch on pre -cast generator pad.
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Additional work to be performed under this permit- check all that apply:
_Mechanical Tank Piping
_Gas _Gas _Shutters _Windows/Doors
_ Electri'c _ Plumbing _ Sprinklers x Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1.000.00 Utilities: —Sewer —Septic Building Height:
WNERJtSE,. t t
Name Christopher B. Arnold
GONTR�OTOR i x —<_ skPr
9.;
Name: Daniel S. Richmond
Address: 716 Campbell Road
Company: WHITE ELECTRIC
City: Fort Pierce State: _
Address: 645 3rd Place
City: Vero Beach State: FL
Zip Code: 34945 Fax:
Phone No.
Zip Code: 32962 Fax: 772.562.1410
E-Mail:
Phone No 772.567.2642
Fill in fee simple Title Holder on next page (if different
E-Mail info@whiteelectricvero.com
State or County License EC13002005/SLC Cert#22782
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
DESIGNER/ENGINEER: x Not
MORTGAGE COMPANY:
Name: Name:
—
Address: _ Address:
City: is — State: City:
Zip: Phone Zip: _
FEE SIMPLE TITLE HOLDER: D1 Not Applicable
Name:
Address:
City:
Zip: Phone:
BONDING COMPANY:
Address:
City:_
Zip:
7S. Not Applicable
X Not Applicable
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 co 1XIct 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
wrim Yniip 1 FNnFR nR AN ATTORNEY RFFORF RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Contractor/License Holder
Signature of Owner/ Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Indian Riher
COUNTY OF Indian River
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me .
this 12flh day of Apr 20J9 by
this 12m day of Apr 20A by
Dank! S. Richmond
Daniel S. Rid,mond
Name of person making statement.
Name of person making statement.
Personally Known x OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signatur f Nota ublic-State of Florida)
(SIgnatur&6f Notary P lic- State of Florida )
Commission No.F 1— 6 2(y.�J.g (Seal)
Commission No. Fr9 ca(„g (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2j//19
MARY ELIZABETH ROTT
Commission # FF 956228
Commission # FF 956228
8903&5 019