HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I
Date: ! Permit Number:
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Building Permit Application ,
Planning and Development Services e 5
Building and Code Regulation Division PEES All i; u
2300 Virginia Avenue,Fort Pierce FL 34982 St, �e County, FL
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residentla '
17771
PERMIT APPLICATION FOR: Generator Li
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PRQFOSED {MPR01/EMEIT LOCATION: - ,
Address: 2016 Royal Fern Circle Palm City FL 34990
Legal Description: HArbor Ridge plat-6 royal fernvillage unit 8
Property Tax ID#: 442560500220004 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION C)F UUORK „ Y
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Install 22kw standby generator with (1) 200 amp service entrance rated transfer switch and poad
sharing modules
CC►NSTRUCTi�ON INFORM" ►TION: �
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Additional work to e e orme under this permit—check all apply:
11HVAC E]Gas Tank Gas Piping Shutters Windows/Doors
R]Electric 0 Plumbing []Sprinklers R1 Generator F] Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 9,695.00 Utilities:In Sewer[]Septic Building Height:
°01111IVER/LESSEE:
A COIVTRA'Cl' R 9 s 1
�r
Name Stuart Wright Name: Michael Flaxman
Address:2016 NW Royal Fern Circle Company: Energized Electric
City: Palm City State:FL Address: 4252 BAndy Blvd
Zip Code: 34990 Fax: City: Fort Pierce State:FI
Phone No. Zip Code: 34981 Fax: 7723186672
E-Mail: Phone No.
Fill in fee simple Title Holder on next page(if different E-Mail: Antonella@Enegizedgenerators.com
from the Owner listed above) State or County License: EC13006279
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CQNSTRoC*N LIEN LAW 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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin work or recording our Notice of Commencement.
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Signatur of wn /Lessee/Contractor as Agent for Owner Signatur f C tractor License Holder
STATE OF FLORmA (( �� � STATE OF FLORIDAc1 ' I
COUNTY OF ` Vt,4�A-� COUNTY OF - i �;�,�X��
Th oing instr ment w s acknowledg efore me The�y�going instrument was acknowledged before me
this day of 20�sby thin day of'A liy ,20 a_by
L� �A wA ru,�/Viv) M� C,/w PJ q�M In
(Name of Ton acknowledging (Name of person acknowledging)
(Signature of Notary Public-Stat of Florida) (Signature of Notary Public-State of l4oricla)
Personally Known OR Produced Identification Personally Known 0_OR Produced Identification
Type of Identificatio Produced Type of Identificati n Produced
Commission No. be, No
bticStateofFlorida ommission No.
An oni M PautFr
a � tee. Notary Public State of Florida
• My Commis
omo 272019191Z01 • Antonia M Paula
of of n Expires 02/27/2019 191201
Revised 07/15/2014
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS