HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
RECEIVED
O D
Building Permit Applicati n JUN 18 2019
Planning and Development Services
Building and Code Regulation Division ST.-Lucie County, Pe mitting
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Electrical
PROPOSED IMPROVWI NT'LOCATION'
Address: 6042 Travelers Way Fort Pierce, FL 34982
Property Tax ID#: 3410-503-0099-000-2 Lot No.3
Site Plan Name: Alan Schmied Block No. d
Project Name: Alan Schmied
DETAILED DESCRIPTION O•�"F WORK. - -
4,_'3m,
Supply and install mechanical interlock in home panel with a 50 amp outlet
CONSTRUCTION INFORMATION: * uy, r
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: Sq. Ft. of First Floor:
Cost of Construction: $ 1,500.00 Utilities: —Sewer —Septic Building Height:
n � .. x
O'-VUNER/LESSEE CONTRACTOR:"
NameAlan Schmied Name:Mike Flaxman
Address:6042 Travelers Way Company:Energized Electric
City: Fort Pierce State:_ Address:4252 Bandy Blvd
Zip Code: 34982 Fax: City: Fort Pierce State:FI
Phone No.401-996-9348 Zip Code: 34981 Fax: 772-381-6672
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 ec13006279
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.
.;-y. S 3" _. n1`_' ,. a� :may y _ ., ii .. .. x•h. :a:_
SUPPLEMENTAL CONSTRUCTION LIEN LAW INF'ORMAT ION:
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 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. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDfiR-OIPAN ORNEY BEFORE RECORDING YOUR NOTICE OF MMENCEMENT."
Signature of 0 e /Less-7-1/Contractor as Agent for Owner Signature o Cont ct r/License older
STATE OF FLO STATE OF FLCII A
COUNTY OF � WC�Jr COUNTY OF
The f oing instr ent was acknowlecled before me The forgoing instr ent was acknowledge( before me
this day of 20W by this Ofay of 20 by
k (('Aq_(ZJ i1 ox coca f� VA I"el '59 CAK Dnao,
Name of person makings atement. Name of person making statement.
Personally Known OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Identification
Produced Produced
(IJ va" hmalyz-2,
(Si nat�,gg6;,q Nota I ) (Signature of Notary Public-State of Florida)
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,:. MY COMMISSION#GG 232946 i¢1Kb'y!"• DANIELLE OONCAL
Co y ;4 . EXPIRES.june 022 ( al) Commissio Imo, al
U ,,; S 1411 SION#GG 2� 94�
• F Ft• Bcndad Thru Notaryt Public Undervvritets EXPIRES:June 27,2022
4. gond ru NatdriPub o e ors
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