HomeMy WebLinkAboutBuilding permit appAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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f" Building Permit Application
Planning and Development Services
Building and Code Regulation Division Commercial Residential x
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (7721462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR:ELECTRICAL
tPRODROCISED IMPROVEMENT LOCATION:
Address: 9407 Avenel Lane, Port St Lucie, FL 3498E
Property Tax ID #: 3322-502-0018-000-$ Lot No.12
Site Plan Name: Block No.
Project Name: Sondike elec
DETAILED DESCRIPTION OF WORK:
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 Tank — Gas Piping _ Shutters T Windows/Doors Pond
Electric — Plumbing —Sprinklers _ Generator Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 1295.00 Utilities: —Sewer _Septic Building Height:
OWNERAESSEE: CONTRACTOR:
NameAlice Sondike
Name: Michael Flaxman
Address:9407 Avenel Lane
Company: Energized Electric
P Y=
City: Port ST Lucie State: _
Address:4252 Bandy Blvd
Zip Code: 34986 Fax:
City: Ft Pierce State: FL
Phone N o. 7724602996
Zip Code: 34981 Fax:
E-Mail:
Phone No7724661095
Fill in fee simple Title Holder on next page if different
E-Mail energizedgenerators@gmail.cam
State or County License EC13006279
from the Owner listed above)
If 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:
Name:
City:
Zip:_
INEER: Not Applicable
Phone
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
Zip: Phone:
State:
MORTGAGE COMPANY:
Name:
Address:
City:
Zip: Phone:
Not Applicable I BONDING COMPANY
Name:_
Address:
City:
Zip:
Phone:
Not Applicable
State
Not Applicable
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 far 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 fu11 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posteq4n the jobsite before the first inspection. If you intend to obt n financing, consult
with lender or an attor4ev before commencing work or rernrdinp vniir. Nntira of Cnmo rsnramont
signature df Ow er/ ee/Contractor as Agent for Owner
Signature of on actor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF
COUNTY OF
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REVIEW
DATE
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DATE
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