HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO'MUSSTT BE COMPLETED FOR APPLICATION TO BE ACCEPTED p
Date: X �I 6LANNED Permit Number: )9 OF. 05S / .
BY m
Building Permit Appl cationAUG 2 8 2019
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 S�, LuC'e�County, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial E3ut
PERMITTYPE: ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Address: 6601 S INDIAN RIVER DR FT PIERCE,FLA 34982
Property Tax ID #: 342-141 -0001 -000/5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:
INSTALL LP GAS POWERED BACK UP GENERATOR
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank X Gas Piping _ Shutters
Electric _Plumbing _Sprinklers XGenerator
Total Sq. Ft of Construction:
Cost of Construction: $ 5,000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No.
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name ROBERTAND,KIMBERLYPRUITT"
Name;PRUITTINDUSTRIAL ELECTRICAL CONTRACTOR LLC
6601 S INDIAN, RIVER DR;
Address: i
Company''"
City; FT PIERCE, ". ;;, , ;. State:_
ZipCode:34982' "' pyxi' 4.
Phone No.772-349-0702'
Address:660.1 S INDIAN RIVE_R•DR.: f
City; FTPIERCE`"" ," , state: FL
Zip Code:•M982..e,.k,�-,•.-�_-r--Fax--'"
Phone No772-349-0702
E-Mail:ROSERT.PRUITT@PRUITTINDUSTRIAL.COM
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
E-MailROBERT.PRUITT@PRUITTINDUSTRIAL.COM
State or County License EC13007677
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 CONSTRU'"N LIEN LAW INFORMATION:
DESIGNER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: ' State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLETITLEMOLDER - _ Not Appiicable—
Name:
Address:
City:
Zip: Phone:
Address:
City:
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 Court makes no representation that is granting a permit will authorize the ermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or anscovenants 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 FORIMPROVEMENTSTO YJOB STFE OUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED
WIiH YO�ik,CENDER OR-Ar"TTORNEY BEFORE RECORDING YOURA THE FIRST INSPECTION. IF 0 ENDCO OBTAIN ,CONSULT
Sign re of er/ Lessee/Contractor as Agent for Owner
Signature of ractor/License Holder
STATE OF
COUNTYOFOR llx�
COUNTY OF Ic�-f
The for Ing instr� enlwas acknowledged before me
this May \�� 20� by
The f i oing instruRint was acknowledged before me
� 0(AT
of _5L r
this day of 20a by
d� �(h�
Name
aYu\�tel
of persol mak ng statement.
Name of person making statement.
Personall nown OR Produced Identificatiom,
Personally Kno OR Produced Identification
Type of tlentifi ion
Type of Iden 'fati
Prod ed
Produced
'15lgnature Bf.Notary Pu
is ature of Nota P.L{Wiv State of FIg�jLjd 1IL
77 ''�r YO'•"' EMILIO OIL
Commission NO. L i i Notarf-te*. State of Florida
/� M. '��`�'�tbtary Public• State of Florida
Commission No. C7 + .4�Commissian f$gpjj1245
Commission # GG 211245
''•- -^' My Comm. Expires Apr 25, 2022
My Comm. Expires Aar 25. 2022
REVIEWS
FRONT
PLANS
VEGETATION
SEATURTLE
MANGROVE
ZONING
SUPERVISOR
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
nev. Ly y/ ly
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