HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLEiNFO�MpU�ST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��//�q /
Date: 'f'd( act/ Permit Number: 2002 cq&5
RECEIVES
—`Q Building Permit Applicatio FEB 1 S 2020
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential'X
PERMIT TYPE: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 10316 Crosby Place Port St Lucie, FL 34986
Property Tax ID #: 3327-709-0042-000-5
Site Plan Name: Staub Generator
Project Name:
DETAILED, DESCRIPTION OF WORK:
Lot No.87
Block No.
CONSTRUCTION -INFORMATION: - : ---
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing —Sprinklers X Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 7678.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name William Staub
Name:Michael Flaxman
Address:10316 Crosby Place
Company: Energized Electric
City: Port St Lucie State:�l.
Zip Code: 34986 Fax:
Phone No.772-466-4386
Address:4252 Bandy Blvd
City: Fort Pierce State -FL
Zip Code: 34981 Fax:
Phone N07724661095
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 EC1 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'LAWJNFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY: _Not Applicable
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
Signature of OtrevLessee/Cf6ntractor as Agent for Owner
STATE OF FLORI STATE OF F1
COUNTYOF iu�� .t COUNTY OF
The orgoing in ent was acknowled d before me The forgoing ins nt was ack owled� yd before me
this day of 20 Vby this day of 200� by
Name of person making statement. Name of person making statement.
Personally Known X' OR Produced Identification Personally Known\ OR Produced Identification
Type of Identification Type of Identification
Produced Produced
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Commission No. _+
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COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
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