HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: J
DEC 17 2019
Building Permit Applicatio ST. Lucie County, Permitting
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential _cz
PERMITTYPE:Generator
Address:
Property Tax ID #: V ci a ls- — \0 5 — UO S 5— 004P - ?5 Lot No.
Site Plan Name: Zc)40 UST Block No.
Project Name: t 00 � 5 0
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers 'Generator
Total Sq. Ft of Construction:
Cost of Construction: $ o4ctS ca
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWN ER/LESSEE
' CO NTRACTQR
Name U
Name: Mike FLaxman
Addre/ssss/: Z A r, ne,- Cove
Company: Energized Electric
City: State: fAddress:4252
Zip Code: S q 9 Q O Fax:
Phone No. %79-- 5 %fir q CY e //
Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone N0772-466-1095
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.
SUPPLEMENTALCONSTRUCTIQN LIEN L?W 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:
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 MUSTJ4E RECORDED AND
POSTED ON THE JOB SIT FO THE FIRST INSPECTION. IF YOU INTEND TO OBTAI NANCING, CONSULT
TT
WITH YOUR LENDER O NEY BEFORE RECORDING YOUR NO C COMME MENT."
Signature of Owner/ Lfte/corleractor as Agent for Owner
Signa ure C tractor/License Holder
STATE OF FLOR�BA�,
COUNTY OF J—I lJU C.l�
STATE OF FLO A
COUNTY OF c A X A—L
Theforgoing instr entyfn was, acknowledged before me
this da of 2( b
The forgoing nstr ent was acknowledged before me
this day �'p 20& by
MIC AP,l �(A4rn�4Yl
yoof�
, 1 af,id I l(--K?(MrAY)
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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REVIEWS
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SUPERVISOR
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SEA TURTLE
MANGROVE
COUNTER
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