HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE
/INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED /; / /n
Date: `� ' Permit N `T- l�• oV I Lo
R E
IVED
Building Permit Ap licatio�
N 3 2Q19
Planning and Development Services Permltting DePa ent
Building and Code Regulation Division St. Lucie Co
2300 Virginia Avenue,Fort Pierce FL 34982 ty, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentia
PERMITTYPE: Electrical
PROPOSED IIUIPROVEM`ENT LOCATION: "" {'42m`
Address: 13953 Geranio Ct
Property Tax ID#:, - l • -ULot No.7
Site Plan Name: Block No. 10
Project Name:
x a ,er ` *.r'e s r
DETAILED DESCRIPTION OF WORK, 3 � , x e� �,e�u
S* �., �e a.
Install mechanical interlock and 50 amp inlet
CONSTRl1C7rION INFORMATION "
Additional work to be performed under this permit—check all that apply:
�Mechanical _Gas Tank _Gas Pipin _Shutters _Windows/Doors
r Electric _Plumbing _Sprinkler _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 1500.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSECONTRACTOR '
,.
Name Joseph & Patricia Capo Name: Michael Flaxman
Address:13953 Geranio Ct Company:Energized Electric
City: Fort Pierce State:_ Address:4252 Bandy Blvd
Zip Code: 34951 Fax: City: Fort Pierce State:FL
Phone No.917-974-2056 Zip Code: 34981 Fax: 772-318-6672
E-Mail: Phone No 772-466-1095
Fill in fee simple Title Holder on next page(if different E-Mail EnergizedGenerators@gmail.com
from the Owner listed above) State or County License EC1 3006279
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 IN ;ORIVIATION j
F
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: _Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Address: Address:
City: City:
Zip: Phone: Zip: Phone:
OWNER/CONTRACTOR AFFIDVIT:Application is hereby m de to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the i suance of a permit.
St. Lucie County makes no representation that is granting apermit will authorize the permit holder to build the subject structure
which is in conflict with any applicable Home Owners Association ules, 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 underping a full concurrency review: room additions,
accessory structures,swimming pools,fences,walls,signs,screen�ooms 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 BE ORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND O AN ATTORNEY BEFORE RECO DING YOUR NOTICE OFC ENCEMENT"
Signature of Own r/ essee/ ontractor as Agent for Owner SignatLife of C ntr or/License older
STATE OF FLORIDASTATE OF FLORIDA/�
ll
COUNTY OF e - �{ �I �i COUNTY OF
The f ing Inst mend was acknowledge efore me The fa g instl �n t sac nowledg efore me
this�ay of ..Jt. 20� by this ay of 1 20T4by
Name of person making statement. Name of person making statement.
Personally Known�OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Iden 'fication
Prod e� 4 Produ d
(Signature of Notary Public-State of Flori' ) (Signature of Notary Public-State of Florida)
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE C```RY EAR `tpRY
COMPLETED '=otp UB`6_State of Florida-Nota y Public `*� SCotate ofmmilorida-Notary Publ c
eV. 7 9E oQ; My Commission Expires %',;EOFFo'� My Commission Expires
"� July 12, 2022 """' July 12, 2022