HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1 i
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I Y✓ ' ��Y
Building Permit Application RECOIE®
Planning and Development Services
Building and Code Regulation Division JUN `2.. ( 2017
2300 Virginia Avenue, Fort Pierce FL 34982 r�RMITTING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 1c,' , cminty, FL
PERMIT APPLICATION FOR: Generator
E;
PROPOS,EDr,IMP OVEM�E�NT LgCATION:
u. a a'A sr ynr} r k"Y
.. '` � � ,IT
Address:
Legal Des
Property Tax ID #:3 LI V I
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No._
Block No.
Install 22kw standby generator with (1) 200amp service entrance rated transfer switch with load
sharing modules
Additional work to a erformed
11HVAC ID
under this permit — check all
[]Gas Piping
apply:
Shutters
Q Windows/Doors
Gas Tank
_
0lectric
0 Plumbing
❑Sprinklers
•[Denerator
0 Roof Roof pitch
Total Sq. Ft of Construction:
S Ft. of First Floor:
0Septic
Cost of Construction: $ �"1"I�
° Utilities:0Sewer
Building Height:
OWNER/LESSEE
A _
P.
dw
CONTRACT®7.1
.- f
�M mar
�a.
Name C
Name: Ci
AddrI-ON
City: CI State:J�J
Company: Energized Electric
Address: 4252 Bandy Blvd
City: Fort Pierce
State: FL
Zip Code: Fax:
Phone No.
Zip Code: 34981 Fax:
E-Mail:
Phone No. 7728773440
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)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is requirea.
4
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 att9rney before
commencing work or reco_rding your Notice of Commencement. ,�
ntractor as Agent for Owner I Signature
W
STATE OF FLORIDQ,k STATE OF FLORIDA (�j
COUNTY OF > �i%-� COUNTY OF Aw
The f rgoing inst ent was acknowledged before me
this day of 20 J2by
of person acknowledging )
(Signature of Notary Pu ic- SV6 of Florida )
Personally Known OR Produced Identification
Type of Identificati n Produced
The forgoing instrument was acknowledged before me
this 1 J
day of �� 20 -a by
(Name of
(Signature of Notary
Personally Known
Type of Identifical
Commission No. Notary��®II�Stateotrtorida Commission No
Antonia M Paula
Commission FF 191,201
11
*NI Expires 1.
Revised 07/15/2014
OR Produced Identification
Notary Public State
Antonia M Paula
Expires 02127/2019
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS