HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1
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Building Permit Application JUL 13 291?
Planning and Development Services PEWAl1-Ti;gc-
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Generator
1774
`RROPOSED,IMPR � �%ENI`EjNT
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LOCATION
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Address: 1507 NW Lancewood Terrace Palm City FL 34990
Legal Description: Harbour Ridge- Plat 8- east hammock Village Unit 4
Property Tax ID #: 4426-803-0014-000-6
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side:
Left Side:
Lot No.
Block No.
Removed exsiting 25kw standby generator i' stall 22kw standby generator v 5e
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E]HVAC
R] Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 9800.00
Sprinklers
LJ Shutters
Generator
S Ft. of First Floor: _
Utilities:Sewer 0Septic
QWindows/Doors
L Roof
Building Height:
Roof pitch
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NameDavid Jatlow
Name: Michael Flaxman
Company: Energized Electric
Address: 4252 Bandy Blvd
Address:1507 NW Lance wood terrace
City: Palm City State:FL
Zip Code: 349990 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.
SUPPLEMENTAL CQNSTRUC°TI®N LIEiNtL,4ilV
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INF®RAMATION:�^ r
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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
commenciniz work or recording your Notice of Commencement.
ature of
STATE OF FLORIDA
COUNTY OFsa,-,--,-
ctor as Agent for Owner I Signature oKontractor/Licensd Ho
The forgoing instrument was acknowledged before me
this day of , 20 _by
Michael Raman 1
STATE OF FLORIDA
COUNTY 0E—,--
The forgoing instrument was acknowledged before me
this 3 day of 'uly , 20 by
Michael Flaxman
(Nan of person acknowledging) (Name erson acknowledging)
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(Signature of Notary Pub I State of Florida) (Signature of Notary Public- Statb of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/201
Nary DState of Florida
Antonia M Paula
,,e r.ommission Fr- 191201
Expires 0212712019
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Notary public State of Florida
Antonia M Paula
ommission FF 191201
- Expires 02/27/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS