HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t� d
Date: 5T11'\ Permit Number:
- - 6UANNED R
BY
• St. Lucie County MA
- --- — Building Permit Application
Planning and Development Services ST. wcle
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential XXXx
PERMIT TYPE: GENERATOR
PROPOSED IMPROVEMENT LOCATION .W h
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Address: 18705 MACH ONE DR. PORT ST LUCIE FL.,34987
Property Tax ID #: 3215-801-0020-000-4
Site Plan Name: AIRED ACRES
Project Name:
INSTALLING A GENERAC 22K GENERATOR, WITH SLAB ON GRADE
Lot No. 1
Block No. 13
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction: 0
Cost of Construction: $ 5,000
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
yOWaNER/LESSEE:
CONTRACTOR:
Name ANDREW & EVANGELINE BRUHN
Name: OWNER BUILDER
Address: 18705 MACH ONE DR
Company:
City: PORT ST LUCIE State: _
Zip Code: 34987 Fax:
Phone No. 772-260-1039
Address:
City: State:_
Zip Code: Fax:
Phone No
E-Mail: abruhn@martin.fl.us
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail
State or County License
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.
SUPPLEMENTALGONS l,, C HON LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER*, _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
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 Count 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of -Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5 ir ,I—y
COUNTYOF
The forgoing instrument was acknowl edgeqbefore me
The forgoing instrument was acknowledged before me
thisa day of '1'(lQY , 20 1 by
this _ day of 20_ by
E• o 4 „t .1 �,n k IS ( 011 _n
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identifica '
`'
Type of Identification
Produced L
Produced
(Signature of Notary Pp
(Signature of Notary Public -State of Florida )
0 iltpMARIEGNENS
OMMISSION # GG 022023
Commission No. CSC `` �JpecembertB•2020
Commission No. (Seal)
P- Notary Public Undeiwdten
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