HomeMy WebLinkAboutBuilding Permit Application,&L AP,9LICAB+LEE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED All
CDate: I ®f O� I I Permit Number:
RECEIVED
Building Permit Application OCT 2 6 2017
Planning and Development Services PERMITTING
Building and Code Regulation Division St. Lucie Count , FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential �I �V/
PERMIT APPLICATION FOR:�ene;ator
�-
PROPOSED IMR,ROVEMENT
LOCATION:
Address: 9408 Meadowood Drive
Legal Description: Lot 5 unit 1 Monte Carlo Country Club
Property Tax ID #: 1327-801-0009-9
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
DETAILED DESCRIPTIONOFWORK:
Install 22K Generator 4- doo (4,n P J; Le_ . L^ r,".,c-e— Zc-"C-
`r�s �w,•�c�. � c-zk-� is " rya I DS
CONSTROCT IONINFORM__TCON;
.
Additional work to be nertormed under t is permit— check
�HVAC Gas Tank Gas Piping
a
apply:
Shutters
Q Windows/Doors
tectR`! El Plumbing
Sprinklers
RIGenerator
1-1 Roof Roof pitch
Total Sq. Ft of Construction:
S
Ft. of First Floor:
Cost of Construction: $ 12,295.00
UtilitiestSewer
Septic
Building Height:
OWNER/,LESSEE:
CONTRACTOR `. E.r.
NameLenore Ford
Name: Energized Electric
Address:9408 Meadowood Drive
Company: Energized Electric
City: Fort Pierce Pierce State:FL
Address: 4252 Bandy Blvd.
Zip Code: 34951 Fax:772-318-6672
City: Fort Pierce State: FL
Phone No. 772-877-3440
Zip Code: 34951 Fax: 772-318-6672
E-Mail:Energizedelectric@gmail.com
Phone No. 772-877-3440
E-Mail: Energizedelectric@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License: EC13006279
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f�SUP LEMENTAL CONSTRUCTION,
LIEN LAW INFOR'IVIATI�.IV r4tir k �s RF
1
DESIGNER/ENGINEER:
N am e: Lenore Ford
Add ress: 9408 Meadowood Drive
_ Not Applicable
MORTGAGE COMPANY:
N am e: Energized Electric
_ Not Applicable
Address: 9408 Meadowood Drive
City: Fort Pierce
Zip: Phone:
State:
City: Fort Pierce Pierce State:
Zip: Phone
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Ad d ress: 4252 Bandy Blvd.
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, 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 orAcording vour.Wtice of Commencement. . 11/1
Signature of Ow r/ Le4see/CqKtractor as Agent for Owner
Signature of Co tr for/Lice se Holder
FLORIDA`
STATE OF C
��
STATE OF FLORIDA `r
STU.I
COUNTY OF V
COUNTY OF
CA R
The ff r, Ding instr en was acknowledged before me
O
The�Qrgoing instrj Tent was acknowledged before me
IJCT by
this C, day of 20 by
thin Ga day of
20a
r�l �l axl n
M Ila- Rgx/may)
Name of person making statement
Name of person making statement
Personally Known -"OR Produced Identification
Personally Known ✓
OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
iW, %4
1WCM &
(Signature of Notary ub i -
(Signature of Notary ublic- State of Florida )
NICHOLE APONTE
Commission No. r'�' ?:s MY ��JIISSIoN # FF96303
ommission No.
; ( POLE APON
��'• EXPIRES May 04, 2020
'- MY COMMISSION # FF96
.�,�•'� «a Sew,,,
NO709RC'53
N"_:h. EXPIRES May 04, 202
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17