HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
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Building Permit Application
Planning and OevelopmentServices
Building and Code Regulation Division Commercial Residential X
2300 Virginia Avenue, Fort Pierce FL 349B2
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMIT APPLICATION FOR: Generator
PROPOSED: I M PROVEMIENT�LOCATION:.
Address: 12174 Riverbend Trace, Port St. Lucie, FL
Property Tax ID #: 4422-502-0007-000-8 Lot No.
Site Plan Name: Block No.
Project Name: 12174 Riverbend Trace
DETAILED' DESCRIPTION OF WORK:
Install generator- existing generator pad and transfer switch
New Electrical Meter Second Electrical Meter
CONSTRUCTION INFORMATION:.
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _Pond
_Electric _Plumbing _Sprinklers XGenefator _Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction:$ 2,100.00 Utilities: _Sewer _Septic Building Height:
Name Fountain Plaza Investments LLC
Name:Andre Luders
Company:Flex Electric, Inc
Address:737 SW Port St Lucie BLVO Ste A
City; Port St Lucie State: FL
Address: 3010 N. Course Dr, #904
City: Pompano Beach State:FL
Zip Code: 34953 Fax:
Phone No. 3 Z � 3 / VI
.Zip Code: 33069 Fax:
E-Mail: s✓o .e ! 2 ✓h K'f SL r Co i—t
Phone No 954-66MS93
Fill In fee simple Title Holder on next page (if different
E-Mail Flexelectnc.fl@gmail.com
from the Owner listed above)
State or County License EC73008376
If value of construction is 2500 or more, a RECORDED Notice of Commencement is required.
If value of HAVC is $7,500 or more, a RECORDED Notice of Commencement Is required.
:SUPPLEMENTAL CONSTRUCTION LIEN LAW IN
DESIGNER/ENGINEER:
NotApplicable
MORTGAGE COMPANY:
x Not Applicable
Name:
Name:
Address:
Address:
City:
State:_
City:
State:_
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: x
Not Applicable
BONDING: COMPANY:
x 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, hylaws 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 concumency 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 paying twice for
improvements to your property. A Notice of Commencement must be recorded in the public records of St.
Lucie County and posted on thejobsite before the first inspection. If you intend to obtain financing, consult
with lender or an attornev hefore cnmmencine wnrk nr rernrdinCV..,, Nntirz o£Clmmenrement_
SignatureOwner/Lessee/Contractor as Agent for Owner
iiiffature, of Contractor scene
Holder
STATE OF FLORIDA
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STATE OF FLORIDA
COUNTYOF
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Swom t or affirmed) and subscribed before me of
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Name of person making statement.
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Personally Known OR Produced identification_
Type of Identificabon
Type of Identification
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Jul 18, 2023
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Commission No. 6c+35
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