HomeMy WebLinkAboutBuilding Permit Application All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: ���� �� Permit Number:
RECEIVED
Building Permit Application SEP 0 9 2019
Planning and Development Services
Building and Code Regulation Division ST. Lude county, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential
PERMIT TYPE:Electrical
PROPOSED IMPROVEMENT,LOCATION:
Address: 7229 Maidstone Drive Port Saint Lucie Florida 34986
Property Tax ID#: 3322-505-0166-000-9 Lot No.157
Site Plan Name: Diventura Block$lo.
Project Name:
Y-
DETAILED DESCRIPTION OF WORK
Supply and install mechanical interlock and 50 amp inlet
�,'c�bNSTkO"'C'T'l''b'N' .I'N'FORMA-TION: r
Additional work to be performed under this permit—check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
6 Electric _ Plumbing _Sprinklers _Generator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction: S 795.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE CONTRACTOR: A
Name Michael Diventura Name:Mike Flaxman
Address:7229 Maidstone Drive Company:Energized Electric
City: Port Saint Lucie State: Address:4252 Bandy Blvd
Zip Code: 34986 Fax: City: Fort Pierce State:FI
Phone No.717-443-2869 Zip Code: 34981 Fax: 772-318-6672
E-Mail: Phone N0772-466-1095
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.
SUPPLEI 4'ENTAL CONSTRUCTION LIEN LAW INFORMATIONk"
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 LEN ER ORAN ATTORNEY BEFORE RECORDING YOUR NO.TICE PF COM NCEMENT."
Signatkrre 00
0 ner/L see/Contractor as Agent for Owner Signature C ntrac r/License Holder
STATE OF FLORIDIft STATE OF FLORIDA
COUNTY OF 5t WC',t, COUNTY OF S!-LUCK
The forgoing instr `ent wa acknowledged before me The forgoing instrument was acknowledged before me
this° &, ay of _ 20 by thisday of/'WALis 201ft by
V'1.ayAd
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 Identification
Produced Produced
i
(Sig arbXM iEE 8 ria (Signatur
F
DANIE SMY COMMISSION#GG 232946 j ° MY COMMISSION#GG 2 949
Co = _ ��o,o��. ,,, �, 2022 S I Commissi June 27,211WR= ea
nded Thru Notary Public Underwriters P' Bonded ThN Notary Public Underwdters
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 2///19