HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
0
Permit Number:
Building Permit Application
Planning and Developmen t Services
Building and Cade Regulation Division Commercial
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ELECTRICAL
PROPOSED IMPROVEMENT LOCATION:
Residential x
Address: 6 Florida Way, Port St Lucie, FL 34952
Property Tax I D #: 3426-500-0347-000-6 Lot No. 6
Site Plan Name: Block No. 1 & 2
Project Name: Geiger oleo
DETAILED DESCRIPTION OF VIIORif:
Install mechanical interlock with 50 amp outlet for portable generator
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas rank `Gas Piping _ Shutters _ Windows/Doors , Pond
I.
�Iectrlc _ Plumbing _ Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1495.00 Utilities: `Sewer —septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Howard geiger
Name:Michael Flaxman
Company: Energized Electric
Add ress:6 Florida Way
City: Port ST Lucie State:
Zip Code: 34952 Fax:
Phone No.4016620519
Address:4252 Bandy Blvd
City: Ft Pierce State: FL
Zip Code: 34981 Fax:
Phone No7724661095
E-Mailenergizedgeneratorsaa gmail.cam
State or County License EC13006279
E-Mail:
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
It value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL_ CONSTRUCTION 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.
5t. 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 1 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 res/e'
ing twice for
improvements to your property. A Notice of Commencement must be recohe public records of St.
Lucie County and postedg� the jobsite before the first inspection. If you intbtain financing, consult
with lender or an attorneYbefore commencine work or recordine �courXotxmmencement.
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Signature 4 04 -11 Lesoe/Contractor as Agent for Owner
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Signature f Contractor/License Holder
STATE OF FLORID
COUNTY OF )Lkc
STATE OF FLORI
COUNTY OF �.•t.,
5wdb {or affirmed} and subscribed before me of
3ca1 Presence or Online Notarization
5 0 (or affirmed) and subscribed before me of
Ph sisal Presence or Online Notarization
this _YAday of 2020 by
this day of � 2020 by
Name of person makin statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
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Produced
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REVIEWS
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REVIEW
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REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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