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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ��ii�'� Date: I - a� • W Permit Number:.2UV Planning and Development Seryices Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: Generator Address: Building Permit Ap Commercial JAN 2 8 2020 ST. Lucie Counter, Permittfng Residential N Property Tax ID#:33oZ7" ;%L2OC(" 0d/Q —OdO-0 LotNo. / 'r Site Plan Name: /"/ —NeA uGK Block No. Project Name: Ae—k i-en hec K Geetem4oe� DETAILED DESCRIPTIO-N,OF WORK:' SU D i21V att d oZ fu i 411 UO O Qr+it p ­Ikr"a 5, 4r 5 W i-c.k W 1%+k (aac SACd ihOc�dl�S CONSTRUCTI©N..INFORIV)ATION ^ Additional work to be performed under this permit— check all that apply: _Mec anical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors Iectric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: Cost of Construction: $ 4 . Utilities: _Sewer _Septic Building Height: OWNER%LESSEE;' CONTRACTOR: Name ; 2rMin iJeGi Name:MikeFLaxman nAe Address: ffloDy %OMMort Po3a+ RD Company: Energized Electric City:Aa S4- ZyG:e Sfate45G Zip Code: 3414 '94 Fax: Phone No. Address: 4262 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 7723186672 Phone No 772-466-1095 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. SUPPLEN EMTAL CONSTRUCTI©N tIEN..L9W s ,� INFORMAT]0N DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: Name: _ Not Applicable Address: Address: City: State: Zip: Phone City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: 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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is in coif lict 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 ATTORNUAEFQRE RECORDING YOUR NOTICWO&WMMWCEMENT." Signature of Owner/ Lessee/Co tr to s Ag t for Owner Signature of nt actor/License Holder STATE OF FLORI STATE OF FLO COUNTY OF COUNTY OF MLA LA 7 C I A The rgoing instr ment was acknowledged before me The forgoing instrument was acknowledged before me thiszday of 20D_0 by thiQr day of _Zan zoo by M (Ck10 P,� 'FA k( LU) UC in r!-P i v-icaxm� Name of person making Name of person making statement. /statement. Personally Known 8 OR Produced Identification Personally KnownV OR Produced Identification Type of Identification Type of Identification Produced Produced (Signature o ys+?!e, DANIELLEGONCAL ES (Signature ofl •• - ; �!".. V • L LVES Commission ,f_ WCOMMISSION §& Za4S Commission N '„i. + MYCOMMISSION ij�_G 32946 —EXPIRES: June 2 EXPIRES: June 7,20 '%+ a ••:?;ud2�C•• Bonded ThN Notary Public '�%PF�`;°�'• Bonded Thn�Nolary PuDrw Undenr`ilew REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev.