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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED oo//�7/��}}�� /%� i� Date: a: �'�n OU Permit Number:.L,l' Z 15/ "V fl Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPEGenerator RECEIVED FEB 0 4 2020 Building Permit Applicatio Lucie County, Permitting Commercial Residential Address: /0�400 L 51e ©-r 1'10e1 I roc-f- D-1 LUGie-, %C-. 5' Property Tax ID #: -') 3�z ) — C6 oC "O Site Plan Name: 1"24I? r ri -}-j Project Name: DETAILED DESCRIPTI(jN;,OF WORK-- Lot No. Block No. -- CONSTRUCTIQWlNFQRMATIONs 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: $ Ly)-. U,b Utilities: —Sewer _Septic Building Height: OWNER'/LESSEE _ '- CONTRACTiOR-. - Name l Name:Mike FLaxman Address: /00 66 TS)e ( 47Ne S CT Company: Energized Electric City: 19�( $i- L(1Ci State: Zip Code: 3Yg a Fax: Phone No. Address:4252 Bandy 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 Licenseec13006279 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. I.I SUPPLEMENTAIL CONS•TRUCTI:ON 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 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%%TTO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECA2DING YOUR NOTICE OFCOMMENCEMENT." Signature STATE OF FLO STATE OF FLO, F A l �C�, COUNTY OFC� COUNTY OF The r oing in ument was acknowledged before me The o oing ins ment was acknowledged before me this ay of�k� 20aibY thi jdaY of ��i'j f 20` by Ac �n_ Za `E CA _ C M - Lucca �a SIC XX MC n Name of person making statement. Name of person making statement. Personally Known X OR Produced Identification Type of Identification (Signat7..-` ' Pul4lfukllE®N6Ao6SFra ) MYCOMMISSION#GG 232946Commis`> EXPIRES: June27,2eal)F pF.•••Bonded Them Notany Public Underwriters Personally Known )rOR Produced Identification Type of Identification Produced MY COMMISSION # GG 2g2946 gPIR€,June27,20 eal) BondedThru Notary Public Underwriters REVIEWS COUONTER I RIEV EW S REVIEWOR I REVIEW I VREVIEWON I S REVIEW LE I MANGROVE