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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BECOMPLETED FOR APPLICATION T0BEACCEPTED Date: Permit Number: 19A / V42211111111 I va . IMMMIXIS I saw Building Permit Application Planning and Development Services . Building and Code Regulation Division 2300Virginia Avenue, Fort Pierce B34982 Phone: (772)462'1SS3 Fax: (77I)462'1S7D ConOn0erCialResidential PERMIT TYPE: Electrical IJ RM Address: 250 Palm Breezes Road Fort Pierce, FL, 34945 Property Tax |D#:231O-5O8-0134'OOO'1 Site Plan Name: Owens Project Name- Owens Supply and install mechanical interlock with 5Oamp inlet box Lot No. 1 Block No. 7 Additional worktobeperformed underthispennit—checkaUthutappk, —Mechanical __GasTank Gas Piping Shutters Windows/Doors Electric __Plumbing Sprinklers Generator Roof Pitch ' Total Sq. FtofConstruction: Sq. Ft. ofFirst Floor: ab Cost ofConstruction: $ ffisUtilities: __Sewer —Septic Building Height: AN 77, Name Daniel Owens Name: Mike Flaxman Address: 350 Palm Breezes Road Company: Energized Electric City: Fort Pierce State: Zip Code: 34945 Fax: Phone No. 772-242-1487 Address:4252 Bandy Blvd City: Fort Pierce, State - Fl Zip Code: 34981 Fax: 772-318-6672 Fill in fee si mple Title Holder'on next page if different from the Owner listed above) E-Mail.energizedgenerators@gmail.com - State or County License ec13006279 Ifvalue ofconstruction is $2500ormore, aRECORDED Notice nfCommencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. DESIGNER/ENGINEER: Name:_ Address: City: Zip: Phone Not Applicable MORTGAGE COMPANY: Name: Address: State: Citv: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: Address: City: Zip: Phone: Zip: Phone:. Not Applicable State: BONDING COMPANY: Not Applicable Name: Address: City: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify that rio 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 coriflict 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 LENDER OR„AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." Signature of r as Agent for Owner I Sign Holder STATE OF FLORIDA,STATE OF FLORIPA COUNTY OF CA.�L COUNTY OF The forgoing instrument was acknowledged before me this % iayofspD�Z�� ,201C by - WOP"d TAax"/)(A y) Name of person making statement. Personally Known __k'OR Produced Identification Type of Identification Produced (Signature of N ; aryl- fjtabAlq Ej�r I ALVES MY COMMISSION # GG 232946 Commission No. PIRES:J(&e;2VJ 2022 Bonded Thru Notary Public Underwriters REVIEWS I FRONT I ZONING COUNTER REVIEW RECEIVED DATE COMPLETED The forgoing inst ment was acknowledged before me this�4VIOay of 201�1 by Name of person making statement. Personally Known OR Produced Identification Type of Identification Produced ,. ka (Signature of Notary Pi.r DANIEL EGONCALVES Commission No. _=otrt'YPq�c,, WCOM���`�I�N#GG232946 EXPIRES: June 27, 2022 Bonded Thru Notaa Public Underwriters SUPERVISOR PLANS I VEGETATION I SEATURTLE I MANGROVE REVIEW I REVIEW REVIEW REVIEW REVIEW