HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ``�� �
Dat...... e.' Permit Number: l j1 DI; r n _ to/✓
T l�A F71P l'�
Building Permit Application JUL 0, S
Planning and Development Services PE; P,[Y"i NIG
Building and Code Regulation Division St. Lucie Goun*y, FL
2300 Virginia Avenue,Fort Pierce FL 34982
Phone: (772)462-1553 Fax: (772)462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Generator
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PROPOSEDi"IMPROVEMENT LOCATlO.aN:1
Address: 8482 Lonesome Pine Trail
Legal Description: Hidden pines estates blk B lot 17
Property Tax ID#: 232370100320003 Lot No.17
Site Plan Name: Block No. B
Project Name:
Setbacks Front Back: Right Side: Left Side:
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DETAILED DES` RIFPTIO�NOF�WORiK` ' ' �, W10*1
Install 22KW standby generator with (1) 200amp service entrance rated transfer switch and load
sharing modules
CONSTRUCTI N INiF0RiMATJON *# ft
Additional work to e ertormed under this permit-check all apply:
❑ ❑Gas Piping Gas Tank Windows/Doors
Pin g Shutters ❑
Electric 0 Plumbing []Sprinklers Generator ❑Roof Roof pitch
Total Sq. Ft of Construction: S Ft.of First Floor:
Cost of Construction:$ 8505.00 Utilities: Sewer❑Septic Building Height:
OWNER/LESSEE`' CONTRA O,R _- zn � :b ;.
A . a.K� . �s i
Name Theodor Mutchler Name: Michael Flaxman
Address:8482 Lonesome Pine trail Company: Energized Electric LLC
City: Fort Pierce State:_ Address: 4252 Bandy Blvd
Zip Code: 34981 Fax: City: Fort Pierce state:FL
Phone No. Zip Code: 34981 Fax: 7723186672
E-Mail: Phone No. 7728773440
Fill in fee simple Title Holder on next page(if different E-Mail: Antonella@EnergizedGenerators.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.
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SU.PPLENiENTA�IC tVSTR CTION LIEN t:A1lU 1NF .RMATIO�N 44 y m xzi
DESIGNER/ENGINEER: _Not Applicable MORTGAGE COMPANY: a _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 ney before
commencing work or recordi our Notice of Commencement.
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Signatur of 0 ne /Lesse Contractor as Agent for Owner Signature of o racto License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF----- COUNTY OF..InMda
The f oing inst ument w acknowledg efore me The forgoing instrument was acknowledged before me
this day of 20 Ll by this 19 day of rune 20 by
Michael Flaxman 1 Michael Flaxman
(Name of erson acknowledging) (Nam f person acknowledging)
(Signature of Notary Public-State of Florida) (Signature of Notary Public-StA4 of Florida)
Personally Known x OR Produced Identification Personally Known x OR Produced Identification
Type of Identification Produced Type of Identification Prod
Commission No. /C re'll1; Nota �c State of Florida
r►o—Notary PutSfi�-4Lte of Fronde Commission No.
Anto lla`1G1 Paula
�; Antonia M Paula My Commission FF 191201
fission FF 191201oFR° Expires 0
of 1 Expires 02/27/2019 1
Revised 07/15/2
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
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