HomeMy WebLinkAboutTimmons permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 452-1553 Fax: (772) 462-1578
PERMIT TYPE: Generator
Permit Number:
Commercial Residential ��/
PROPOSED IMPROVEMENT LOCATION: r,�}
Address:
Property Tax ID #:
Site Plan Name: T i "^rnoq 5
Project Name:
DETAILED DESCRIPTION OF WORK:
AMI 141E&FWJ(�
011M I
Lot No. (f}
Block No.
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
—:Zctric
�'al Gas Tank _ Gas Piping _ Shutters Windows/Doors
Plumbing _Sprinklers e Generator _Roof Pitch
Total Sq. Ft of Constructions�::? Sq. Ft. of First Floor:
Cost of Construction: $ �T'S7;���[ Utilities: _ Sewer _ Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name �' on
Name: Mike FLaxman
Address:
Company: Energized Electric
City: ,`n i ,6&d e State:
Zip Code: 3 ��( f5` e(— Fax:
Phone No.
Address:4252 Dandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No772-466-1095
E -Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail energizedgenerators@gmail.com
State or County License ecl 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 INFORMATION:
DESIGNER/ENGINEER: Not Applicable
Name:
MORTGAGE COMPANY: Not Applicable
Name:
Address:
Address:
City: state:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Address:
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFF IDVIT: Application is hereby made to obtain a permit to dothe work and installation as indicated.
1 certify that no work or! nsta I I ation 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 OBTA!N,FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE 09 COMMfJd"MENT."
Rev. 2/7/19
Signature of Owner/ Le se Co ctor as Agent for Owner
Signature of o6ntracto/Ticense Holder
STATE OF FLORI
STATE OF FLORI �A�
COUNTY OF � n /�( I -I
COUNTY OF �� A__X �
The forgoing instrAment was acknowled q before me
The�j r oin instr ment was acknowledgd before me
ri
this day of 1_ +n'} 2D y
this day of ZCLJ� by
Name of person making meat.
Name of person making statement.
Personally Known QR Produced Identification
Personally Known _ OR Produced Identification
Tye of Ide
Type of Identification
Produced f DANIELLEGOiNCALVESProduced
CC}M�I IO! t # 00 2329A6
EX I J I A - dL-
of Nota ub State of Florida
(Signature ry }
{signature o ', �'}al�r,L-, ES
ISSIOIVkGG232946
Commission No. {Seaf}
EXPIRES; June 27
CommissionklICj hre
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/7/19