HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
A e
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1.553 Fax: (772) 462-1578
Permit Number:
Commercial Residential
P11MITTYPE:Gene ator
PROPOSED IMPROVEMENT ::
/NT LOCATION
Address: ot �! �� � n �C r u C �r�C `°� AUC �` C' %t� N
Property Tax ID #:5 L J q_`_.. Q:– Dc�4 "" ( Lot No.
Site Pian Name: Block No.
Project Name:
I DETAILED DESCRIPTION OF WORK:
r
5WA C Gi
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit– check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
(--Kectric ` Plumbing Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:, Sq. Ft. of First Floor:
Cost of Construction: $ �ilCf`r LIY¢� Utilities: —Sewer —Septic Building Height:
OWNERAESSEE:
CONTRACTOR:
Name A
Name: Mike FLaxman
Address: 5, `' P --i1 L V�
Company: Energized Electric
City: paid �j`} r� (JG+` 'e m State:
Zip Code: Fax:
Phone No.
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No 772-466-1095
E -Mail:
Fill in fee simple Title Halder on next page ( if different
from the Owner listed above)
E -Mail energizedgenerators@gmail.com
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW iNFORMATION:
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:
Illllll'Ion / /"l1wlTn a fr�rw
v vv IML-nl %-WIV 1 r% i VIS Hrriuvi i :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 YOURAIROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFO E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LEND ORrAN ATT9f0&Y BEFORE RECORDING YOUR NOTICE OF_40MMENdMENT_"
Signature of Owner/
as Agent for Owner I Signature
STATE OF FLORIDA - STATE OF FLORIDA ,
COUNTY OF COUNTY OF
TheDing instr m nt was acknowledged before me
thislday of 20by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
se Holder
The`fKgoing instru ent was acknowledged before me
thislr ay of 20by
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Produced
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