HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 1 - -)-3. 2 n Permit Number:
Building Permit Applicati n JAN 2 3 2o2o
Planning and Development Services
Building and Code Regulation Division L 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 '
Address: 12776 NW Mariner Ct Palm City, FL 34990
Property Tax ID ft: 4425-603-0029-000-7
Site Plan Name:
Project Name: Wolff Generator
Install 22kw generator with 200 amp service entrance rated transfer switch and load sharing modules
Lot No.
Block No.
Additional work to be performed under this permit- check all that apply:
_Mechanical _ Gas Tank _ Gas Piping Shutters —Windows/Doors
- Electric _ Plumbing _Sprinklers a Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9895.00 Utilities: _Sewer —Septic Building Height:
OWNERAESSEE °• f =_ a"' a r ....,, ¢c % �;wz�''!?CONTRPCTORffi
w �' a<'
Name Charles Wolff
Name:Michael Flaxman
Address:12776 NW Mariner Ct
Company: Energized Electric
City: Palm City
Zip Code: 34990 Fax:
Phone No.7723362920
State:%
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax:
Phone No7724661095
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 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 LqW
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INFORMATION
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT„>
Signature of Owner/ Lessee/Conq a or as Agent for Owner
Signature of Contra&r License Holder
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STATE OF FLORID 1 'G,
COUNTY OF U.A
STATE OF FIL
COUNTY OF C,(L-+
The fo o ng instr me t was acknowledg d before me
this of 20�by
The rgomg inst ent edged before me
this y of 20,y
Ck1 Mel 7r&M C)
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Name of person making statement.
Name of person making statement.
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Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
i
ignature of Nota
(Signature of Notary Pub'
""?•"' DANIELLE GONCALVES
DANIELLEGONCALVES
Commission No.
,. :,: MYCOMM( "#GG232946
Commission No.
MYC�RSION#GG232946
'F EXPIRES: June 27,2022
- o EXPIRE June27,2022
''`P.PF.:°•P Bonded Thru No Public Undemdters
�;PFFt°P' Bonded Thru Notary Public Undemdters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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