HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPIw
Date: 5*19 Permit Number:
SCANNED
-...,1 J. e - BY
• St. Lucie County RECEIVED
Building Permit ApplicatioE�T.
MAY 3 0 2019
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ucie County, Perrt
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
P E R M IT TYP E: G E N E RAT O R
PROPOSED IMPROVEMENT LOCATION:
Address: 1650 NW SWEETBAY CIRCLE PALM CITY, FL 34990
Property Tax ID #: 4426-803-0024-000-9
Site Plan Name: KENNY GENERATOR
Project Name: KENNY GENERATOR SYSTEM
DETAILED DESCRIPTION OF WORK:
Lot No.
Block No.
SUPPLY & INSTALL A NEW 11 KW GENERATOR & 16- CIRCUIT TRANSFER PANEL WITH A NEW GENPAD
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters —Windows/Doors
._Electric _Plumbing _Sprinklers 4�(Generator —Roof Pitch
Total Sq. Ft of Construction: 2178
Cost of Construction: $ 7,680.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name 1-r,ed e. kenn\/
Name:JIM REISNER
Address: R 1650 N.b,J,swee+ 64
i@ompany:31M REISNER ELECTRIC, LLC
City: PALM CITY, FL State: _
Zip Code: 34990 Fax:
Phone No: - 3Q3 a & I.93 7i
Address:4886 SW HONEY TER
City: PALM CITY State: FL
Zip Code: 34990 Fax:
hone No772-260-0732
E-Mail: . ICe+hV �enn�1G 4
Fill in fee simple Title Holder an next page (if different
from the Owner listed above)
E-Mailjamesreisner@bellsouth.net
State or County License EC-0002442
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.
SUPPLEMENTAL CONSTRbdION 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 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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF/WMMENCEMENT."
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Si re of Owner/ Lessee/Contractor as Agent for Owner
ature of Contractor License Holder
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The f rgoing instrur e t was acknowledge before me
The forgoing instrum n was acknowledged before me
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thisday of 20� by
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Name of person making statement. \ /
Name of person making statement. //�
Personally Known OR Produced Identificationy
Personally Known OR Produced Identificatidsf
Type of Identificati
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Type of IdentificatiV
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DATE
RECEIVED
DATE
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