HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �D ••T_ Permit Number:
RECEIVED
" ° •
`Building Permit Application JUNY82019
Planning and Development Services ST. Lucie County ermitting
Building and Code Regulation Division
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Electrical
PROPOSED IMPROVEMENT LO"CATION.
Address: 9062 Pumpkin Ridge Road Port Saint Lucie FL 34986
Property Tax ID#: 3322-505-0158-000-0 Lot No.149
Site Plan Name: Phyllis Brandana Block No.
Project Name: Phyllis Brandano
DETAILED DESCRIPTION O`F WQRK "
Supply and install mechanical interlock in home panel with a 50 amp inlet
CQNSTRUCTION INFQRMATI N'.
"
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:
OWNER/LESSE.E -CONTRACTOR
Name Phyllis Brandano Name:Mike Flaxman
Address:9062 Pumpkin Ridge Rd Company:Energized Electric
City: Port Saint Lucie State:_ Address:4252 Bandy Blvd
Zip Code: 34986 Fax: City: Fort Pierce- State:FI
Phone No.781-858-5854 Zip Code: 34981 Fax: 772-381-6672
E-Mail: Phone No772-466-1095
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.
J �
SUIPPLEM.ENTAL CONSTRaU'CTION LEEN.LAW INEFORMATION,
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY:ft _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 thepermit 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 LEDIDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEME
Signature 0 her/Le ee/Contractor as Agent for Owner Signatu a of n actor/Lice se Holder
STATE OF FLO.DF1 UX�-a COUNTSTATEY OF� �� C__
COUNTY OF �
The for oing insUument was acknowledged before me The fo oing instr ent was acknowledged before me
thisday ofJI-A-R 20�Aq by this lvzf4 of 20A9 by
Name of person making statement. Name of person making statement.
Personally Known OR Produced Identification Personally Known 'IN"" OR Produced Identification
Type of Identification Type of Identification
Produced Produced
qyAAk,),�
(Sign u f Not r bl•c-State ofE lori Si = 3' s1 Notaha( c I id )
i DANIELLE GONCALVE9MY COMMISSION#GG 2329�br
Com is�gS"r� " 5::: a Cogo• EXPIRES:June 27,2022 eal)
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ru o nderwdters
EXPIRES:June 27,2028
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
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