HomeMy WebLinkAboutBuilding Permit Applications,
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ,
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Date: �' ("a.®� i� 1 Permit Number:
Planning and Development Services
_Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
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Building Permit Application Nov., -1otg
Permitting Department
St. Lucie County
Commercial Residential x
PERMIT TYPE:generator
PROPOSED IMPROVEMEN7�LOCATION'
Address: 1503 NW Sawgrass WAY Palm City, FL 34990
Property Tax ID #: 4426-815-0062-000-4 Lot No.
Site Plan Name: Ludgate Block No.
Project Name:
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DETAILED DESCRIPTIONOF W®RK5 } {+}' '
Supply and install 22kw generator with (1) 200 amp service entrance rated transfer switch and load sharing modules
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Additional work to be performed under this
permit— check all that apply:
_Mechanical _ Gas Tank
_ Gas Piping Shutters
_ Windows/Doors
_ Electric _ Plumbing
_ Sprinklers Generator
_ Roof
Pitch
Total Sq. Ft of Construction:
Sq. Ft. of First Floor:
Cost of Construction: $ 9395.00
Utilities: —Sewer _ Septic
Building Height:
OWNER/LESSEE£#
n.
CONTRACTOR`
NameJohn Ludgate
Name: Michael Flaxman
Address:1503 NW Sawgrass WAY
Company: Energized Electric
City: Palm City State:
Zip Code: 34990 Fax:
Phone No.9083853518
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
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.
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SUPRLWENTAL CONSTRUCTION LFEWLAW INfORMATl0N:
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 MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENPERORANWORNEY BEFORE RECORDING YOUR NOTICE Of COMMENCEME
Signature of 0 n r/ Lesse /Contractor as Agent for Owner
Signature of C tr ctor/License Holder
STATE OF FLOg A
STATE OF FLO
COUNTY OF_ C;_A,
COUNTY OF �
Th orgoing ins t ment wa acknowledged before me
A � �by
The �orgoing instrument wa acknowledged before me
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thi�� day of 20
this ay of 20Cl
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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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