HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONiv
All APPLICABLE` INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: c:*, � C\ 1ST SCANNED PermitNumber: ,CkrJ1'4t15
St. Luc prhinty
Building Permit Applic tiOnRECEIVED
planning and Development Services SEP 0 9 2019
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Pero
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Re
�PERMITTYPE: GENERATOR
PROPOSED IMPROVEMENT LOCATION:
Address: 3431 S INDIAN RIVER DRIVE
Property Tax ID #: r iki "A a\- Imol - 000-q
Site Plan Name:
Project Name: CHRISTIANE R. MOLLET
DETAILED DESCRIPTION OF WORK:
INSTALL A 16KW GENERAC GENRATOR WITH A 150AMP AUTOMATIC TRANSFER SWITCH
Lot No. 4
Block No.
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 Generator _ Roof Pitch
Total Sq. Ft of Construction: 1'%r►Sq. Ft. of First Floor: 11,10
Cost of Construction: $ 34300.00 Utilities: Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameCHRISTIANE R MOLLET
Name:JACK PHILIPS
Address:3431 S INDIAN RIVER DRIVE
Company:A GENERATOR GUY
City: FORT PIERCE State: FL
Zip Code: 34982 Fax:
Phone No.772-332-5876
Address-15519 W US HWY 441
City:EUSTIS State: FL
Zip Code: 32726 Fax:
Phone N0352-735-8285
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
0
E-MaiIQfArJCTot�O iCe�YU�W�y, eo
State or County License EC13007737
If vame or construction is Szsuu or more, a RECORDED notice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
' y
.• .ram ,F . �5 „, i .
'DESIGNIERIENGINEEP. — Not'Applip e . MORTGAGE COMPANY tVot Applirahfe .+;
` Address; = .Address'
City State City state y
�P Phone Ilp ."Phone:=
A;
FEESIMPtETITLEHOLDEIU Not;ApPiicable-' 'BONDINGCOMPANVd Notapphcatife",R �x
TY
OINNERJCONTRJICTORAFFIDYIT� - . � � r
- - Appftrs[ionBherebymadetoobialnapermittedethewerkandtnslaffatkmasind;eared r .��-;
i 1 cattily tart no wok or Instagatiai has commenced prlorto:the issuanarof a Permit. ; z r ! = ,�- -` i
i tLou ttyy�. �_s _ _
Sw6ldztsCDun make norcpr� r�mtaaWt1onrtthatisarantin[a ppe1mttwlllauUrorizethe ermlth0ldertohulldthe sUv
tls 9PCt+ablademe4tivnersAsiouavon Ies,b�y++Ilawsot rnuenamsttntmay ctorproht5f c � �.
stturtura P5ease tonsuh it W Home Owners Assodationan Muses w,your tleed forany restr alons Wt ry apply f
lmm�sidennonaftitegn'loved:tbisrequesta�pertnlrldoherebyat ethatlw4p;inallrespects;perfcrmthewdrk '.
4 in ac*danx wdh tlieapproved'ptans the laodda gulldlt' Codes and St, tude`County Amendments _
i 7tte fo ldwing t umhS E_� applications are exempt from wdergoing a full wncurtenry reWew; room addltlons , Y A
AmissbrystruMures sadmmtnpbols,fanus,walls,aims,,screenr�msand access0N6astotanothernon{esidentWuse:I ' a
`lMRNlfC TO OWN = YOUR PABA ETD RECQBL`'C�iQilQ+;.Oi >_ _ _
CQMA�IfT:MAY At xT #4 YOtA1;PAYNIi
l TyM10E TOR.9MROYENEafi 76 YOUR PROPERTY. NOiIEH`OF: CO f1 M1f51'Bt3' 1 AND, `
POSTF� ON S11E•BEFOf 'TIE`F#!St ;NSPECTlD11 Yf�VANCTi1G; LON5MT
` 1tlita Y AN ATTOO EY-NEFOR0 HELOT. WIIMIEIat�tEM:•
Signature fOwner/Ce Contradat;aiA$errtfotOwlles•,, Slgriatu�ttactor,(t older_.....: F;;.`
STA FFLDRIDA ST/1 E
COU.N7Y OF I-Gt�LP COU OF La (,
Tikfqtgq(rs� wasacknowimlycdbeforoma The pqttg tows dmed fo ordre me "
fhu J 71ay a 20J9 lry thf a4faY of 20 by
I. `r
Name of perFon makingstatemeni Name of person -making rtatemer}L
i Personally Known OR Produced Mani, PersomgKn y own- ` OR Produced WentiflcaU
Type of IdemMatbts" o[ldenttfkatlon - 7
Produail - g �t Produced
_ $
(S gpture of Notary Pubgo-State of flotlda) (Signature of Not
try Pub[tr5ta a of Florida } j
$t
i• cori'antssion No 01 t ISealj 3r3s ccmmfsslon No a'�e 3t�-1 (Sealj`�3'
REVIEWS FRONT ZONING P PLANS VEGETATION SEATURTLE .
I i 4 ;GOUNTEIi REVIEW .IREVIEW., <REVIEW..r',.' ;REYIEW,',t, ;z_ .. 1
DATE, l
RECEIVED
—
COMPLETED
SUPPLEMENTAL CONSTRUCTION LIEN LAWINFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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. YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING UR' 3tE OF, COMMENCEMENT."
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signatur Contractor/L' older
STATE OF FLORIDA
STATE F FLORIDA I
COUNTY OF
COU OF
The forgoing instrument was acknowledged before me
The tQlgpjng instr men was acknowledgGfl before me
this _ day of 20_ by
this ay of i 20_il by
3c � �In1wcps
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known N OR Produced Identificatio
Type of Identification
Type of Identification
q
Produced
Produced
LL o�
O dN
�•�2 Ea
og
C.a
.�ili
(Signature of Notary Public- State of Florida)
(Signature of Notary Public- State of Florida )
o „
Commission No. (Seal)
Commission No.lrir V �[ (Seal)
a es
=mew
d
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
A
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.2/7/19