HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8/29/2019 Permit Number:
_. RECEIVED
SEP'05 2019
Building Permit Applicati"t. ttingLuDepartment
Planning and Development Services cie County SGONED
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982EW
. LuNPIflrolrt�
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x �7l
PERMITTVPE:Electrical permit
PROPOSED IMPROVEMENT LOCATION:
Address: 6303 S Header Canal Rd
Property Tax ID #: 3214-113-0001-000-0
Site Plan Name:
Project Name: S Header Canal Rd
DETAILED DESCRIPTION OF WORK:
Install 22 Kw back up generator with 200 amp automatic transfer switch
Lot No.
Block No.
L CONSTRUCTION INFORMATION'
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
X Electric _Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 5200.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRodney Hall
Name: Mark Cross
Address:6303 S Header Canal Rd
Company:Marcope, LLC
City: Fort Pierce State: _
Zip Code: 34987 Fax:
Phone N0.772-216-5141
Address:5818 Lyda Ln
City: Orlando State: FL
Zip Code: 32806 Fax:
Phone No4075O86964
E-Mail:rhallconcrete@aol.com
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permitting@marcope.com
State or County License EC13001174
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 CONSTRUCTION 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, 1 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 hon-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"
nature of Owner/ Lessee/Contractor as Agent for Owner
SigAture of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTYOF��
COUNTYOFo—gecwnh
The for oing instru t was knowledged before me
this Y day of �� 20� by
The forgoing instrument was acknowledged before me
this 29 day of Aug 2JJI by
-
M0,vt��
L C - s
Name of person making statement.
Name of person ment.
�.�®R
Persona own `� OR Produced Identification
Personally Known Produced Identification
Typ of Identi cation
Type of Identification
Pr uced
Produce
Cd2�
(Sign ure of NotafIry Public-Sta a of Florida
(SQ�fiai..ure of Notary Public - of Notary Public-Sta'[f FloridaFloridaCom�sion
No. I `. q Ti(tllflMd6Mi!!
Cosion Iyi Tim�N ,®(Seal '
` CoaraltlRYof ST111
6�teY',Dee i'21 2Q0'
_� Expires: Da. Pt, M0fiftv
l
REVIEWS
FRONT ZONING" "`
SUPERVISOR
PLAINS"
`VEGETATION
SEATURTLE
MANGROVE
COUNTER REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 21711