HomeMy WebLinkAboutBuilding Permit ApplicationAl|APPUCABLE|NF0y0USTBE00KAPLBE0FORAPPUCAT0N TOBEACCEPTED
Date: Permit Number:
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~° nxv�n ,� Permit n~ Application mnV �� v,~
Planning and Development Services n"' ~
Building and Code Regulation Division o
ounti
2300Virginia Avenue, Fort Pierce FL `- st.u^^~-
Phone: (77Z)462-lS53 Fax: (77Z)462'157O COO1O18rCi8lR85id8Dti2l___________
PERMIT TYPE: Generator
Address: 7507 Palomar Street Fort Pierce Fl 34951
Property Tax |D#: 1301'001'0183'000'8 Lot No. 25
Site Plan Name: Self Block No. 9
Project Name: Self Generator
Supply and install 16kw generator with 200 AMP service entrance rated transfer swith with load shed modules
Additional work tobeperformed underthispennit-oheckaUthatappkc
—Mechanical __GasTank Gas Piping __Shutters Windows/Doors
Electric __Plumbing Sprinklers __Generator Roof �Pitch
Total Sq. FtnfConstruction:
Cost of Construction: $
Sq. Ft. of First Floor:
Utilities: __Saxver _Septic Building Height:
cid
Name Gary Self
Name: Mike Flaxman
Address-7507 Palomar Street
Energized Electric
City: Fort Pierce State:
Zip Code: 34951 Fax:
Phone No. 772-465-0419
Address:4252 Bandy Blvd
City: Fort Pierce State: FI
Zip Code: 34981 Fax: 772-332-6672
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 License ECI 3006279
Ifvalue ofconstruction is $25VVormore, aRECORDED Notice ofCommencement is required.
SUPPLE''MENTAL
�.,� ,. � a �. .. o,
CONSTftUGTION LI'E"N "LAW INFORMATION
. , • .<IGNER/ENGINEER:
DES
Name:
_ Not A licable
pp
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
Address:
City:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
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 WITH OUR ENDER OR AN ATTORINE"EFOI RECO DI GNYOUR NOTICE O 0 EN I ENTNCING, CONSULT
Signature of Owner/ Lessee/Co `racto as'Agent far Owner
Signature of Cont ra(cto License older
STATE OF FLORIDA
COUNTY OF
STATE OF FLO D
COUNTY OF MA) Cam,
The forgoing instrument was acknowledged before me
The f oing inst a wa ckno ledg pI before me
this day of _ 20_ by
this day of 20� by
� � � 1 (Agora a '
Name of person making statement.
Name of person makins tatement.
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
—
(Sign aqy, 1 )
(Signature of Notary Public- State of Florida)
Commission No. (Seal)
Comm Si" EXPIff66',Juno 27,2�_0J2py2 /�� i
. _. _i6 .�PDR T'Q7:' _ i)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 9