HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1G� -i J ^� i
Date: 03/26/2018 Permit Number: ` o -oil 1 I
RECEIVE
Building Permit Application MAR 2 7 2018
Planning and Development Services , refi�Rttting
Building and Code Regulation Division ST. Lucie CoanW?,
2300 Vlrginlo Avenue,Fort Pierce FL 34982
Phone:(772)462-1553 Fax:(772)462-1578 Commercial Residential X f
i
PERMIT APPLICATION FOR: Electrical ..
trig WIN �
Address: 8037 MEADOWLARK LN.PORT ST.LUCIE,FL. 34952
t
Legal Description: THE PRESERVE AT SAVANNA CLUB-BILK 50 LOT 39(OR4041-1163)
Property Tax ID#: 3425-706-0229-000-2 Lot No. 39
Site Plan Name: 50
Block No. t
Project Name: SCHERER
Setbacks Front Back. Right Side: Left Side:
LETA11 c o �
k� S RI gu NCO 0 K f
ADD COUNTERTOP OUTLET, UCL LIGHT AND SWITCH
-
CONSTRUC7"ION INfC;tRMp'TION� � � � v "-
_ M _ r_
Add itional work to be-Deffo--rmea under ts permit—check a appy:
HVAC Gas Tank ❑Gas Piping OGenerator
Shutters ❑Windows/Doors
ZElectric 0 Plumbing Sprinklers Roof Roof pitch
Total Sq.Ft of Construction: 10 SCO.FT. Sq. Ft.of First Floor:
Cost of Construction:$ 347.96 Utilities: Sewer Septic Building Height:
bNIN—
Name KATHERINE SCHERER Name: MICHAEL FLAXMAN R
Address:8037 MEADOWLARK LN. Company; ENERGIZED ELECTRIC LLC.
City: PORT ST.LUCIE State: FL Address: 4252 SANDY BLVD.
Zlp Code: 34952 Fax: City: FORT PIERCE State:FL
Phone No.(772)486-1941 Zip Code: 34981 Fax: (772)318-6672
E-Mail: Phone No. 772-877-3440
Fill in fee simple Title Holder on next page(if different E-Mail:jennifer.energized@gmall.com
from the Owner listed above) State or County License: EC13006279
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: —Not Applicable MORTGAGE COMPANY: _Not Applicable
N a me:KATHERINE SCHERER N a m e:MICHAEL FLAXMAN
Add re s5:8037 MEADOWLARK LN.PORT ST.LUCIE,FL 34952 Address: 8037 MEADOWLARK LN.
City: PORT ST.LUCIE State: City: FORT PIERCE State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address:4252 BANDY BLVD. 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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comVtepcing work or recQrding your3ldtice of Commencement.
Signature of Owne/L ssee/Con actor as Agent for Owner Aib<ture of Cont or/ ' ense Holder
STATE OF FLORIDA STATE OF FLORI A
COUNTY OF--- COUNTY OF--
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this zs day of March 201$ by this 26 day of March .20 V?. by
Michael Flaxmen Michael Fhwman
Name of person making statement Name of person making statement
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Iden ' is�d'o/ , , l� Type of Iden ' ica o
Produced �.I ��n , �w Produced W D VJ6_U Lyl(OLO1`1
(S na ure of Notary Pu��i -State of Florida) (Si nature of Notary ubllc-State
0o rlda)
\\0%11 i5iI//////
Commission Nq*�a BF@l.R.CO //i,. (Seal) Commission No. t iiiiir// (Seal)
.� \
.9 \�•�\`l�,?��A1i118SipN�9�����
G 0 30•? F'.
REVIEWS L ZONING SUPERVISOR PLANS VE!3ETAWQ� STATBRTLE MANGROVE
UNTER �EWEW REVIEW REVIEW f�F�/IlfiAl@LIC (#EVIIj W REVIEW
DATE
RECEIVED ���rFOFFL.O \� 'igjM#GG166
DATE F FI O`\`\\\\
COMPLETED
Rev.8/2/17