HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: 11 cq-0 1 `tY
- . -- - - _ RECEIVED
Building Permit Application SEP 1
Planning and Development Services 2017
Building and Code Regulation Division PERMITTING
2300 Virginia Avenue, Fort Pierce FL 34982 St•.L G
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residentiailoun �'' FL
PERMIT APPLICATION FOR: Generator-j
PROPOSED IMPROVEMENT LOCATION:
Address: 3037 NW Radcliffe Way Palm City FL 34990
Legal Description: Riverbend PB 67-36 lot 43
Property Tax ID #: 4425-703-0048-000-3
Site Plan Name:
Project Name:
Lot No.43
Block No.
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: 11
Install 22kw standby generator with (2) 150 non service entrance rated transfer swithces and load
sharing modules
CONSTRUCTION INFORMATION:
Additional work to a er orme un er this permit —check a apply:
0HVAC 11 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers Generator 13 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 9995.00
Sq. of First Floor: _
Utilities: F]Sewer Eleptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoseph Abromovitz
Name: Michael Flaxman
Address:3037 NW Radcliffe Way
Company: Energized ELectric Ilc
City: Palm City State: _
Address: 4252 Bandy Blvd
Zip Code: 34990 Fax:
City: Fort Pierce State: FL
Phone No.
Zip Code: Fax:
E-Mail:
Phone No.
Fill in fee simple Title Holder on next page ( if different
E-Mail: Antonella@Energizedgenerators.com
State or County License: EC13006279
from the Owner listed above)
it value of construction is 5Z5UU or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name : Joseph Abromovitz
Address: 3037 NW Radcliffe Way Palm City FL 34990
City: Palm City State:
Zip: Phone
MORTGAGE COMPANY: _ Not Applicable
N a m e: Mlchael Flaxman
Address: 3037 NW Radcliffe Way
City: Fort Pierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 4252 Bandy Blvd
City:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
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
commencing work gr recording our Notice of Commencement.
Signat re of 0 ner/ Les ee/Contractor as Agent for Owner
Signature of n actor/Lice se Holder
STATE OF FLORIDA -
STATE OF FLORID, rrII�
COUNTY OF SCa �l" o ��
COUNTY OF IMYI
The ;f%rgoing instr ent as a cnowledge�pefore me
The fArgoing instr ent was acknowled5�before me
this day of 20 by
this May of � 20 by
AA e m
— C-A
Name of p n making statement
Personally Known OR Produced Identification
_'�
Name of per n making statement
Personally Known � OR Produced Identification
Type of entification
Type of Identification
Prod u d
Produced
v�
(Sign re of Notary btj���,ato tJ gk)State of Florida
(Signature of Nota
W'� Antonia M Paula
Notary Public State of Florida
Commission No. My Com415994FF 191201
�00"
Commission No. Antonia M Nftal)
W M1 Expirot 02/27/2019%
y Commission FF 191201
or1W Expiroo02/27/2019/
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev.8/2/17