HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr..
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Ax
Date: Permit Number: W
• - VIE 01JE®
Building Permit Application
Planning and Development Services JuN 21
.2017
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 pERiVffTiING
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ReSidential59 Lucie county' FL
PERMIT APPLICATION FOR: Generator
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PROP05EDINIPROUEM.ENT=LOCATION
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Address:
Legal Des
Property Tax ID #: "I L� — c7 I lJl�'lr Lot No.
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Block No.
Install 22kw standby generator with (1) 200amp service entrance rated transfer switch with load
sharing modules
❑HVAC
11 Electric
Plumbing
OSprinklers
"Shutters
R1Generator
Total Sq. Ft of Construction: { S Ft. of First Floor: _
Cost of Construction: $ ��"1�� . Utilities:Sewer ❑Septic
Windows/Doors
E] Roof
Building Height:
Roof pitch
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Name
Name: Michael Flaxman
pp
Addre s:iK�� V
Company: Energized Electric
City: State:
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: q 6t 0 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
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.
i
DESIGNER/ENGINEER: _ Not Applicable
Name:
Address:
City: State: _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address:
City:
Zip: Phone:
MORTGAGE COMPANY
Name:
Address:
City:
Zip: Phone;
I11-10Pi71► [Clore] LTA I:71-1►VA
Name: _
Address:
City:_
Zip:
I certify that no work or installation has commenced prior to the issuance of a permit.
Phone:
Not Applicable
tate:
Not Applicable
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 or recording vour Notice of Commencement.
Signature
as Agent for Owner I Signature of�ConVFactor/LicLdnse Holder
STATE OF FLORIDA STATE OF FLORIDtl
COUNTYOF ��,� CI� COUNTY OF
The orgoing instru ent was acknowledg efore me
this day of 20by
(Name ofperson acknowledging
(Signature of Notary Public- State dV Florida )
Personally Known tl OR Produced Identification
Type of Identification roduced
Commission No.
Notary Public State of Florida
' M Paula
My Commission FF 19
Revised 07/15*10;01 Expires 0212712019
The forgoing instrument was acknowledged before me
this _4� day of 20 a by
ul (A/W _P_ I RUOVA"
(Name of p son acknowledging)
(Signature of Notary Public- State of Flor a )
Personally Known r OR Produced Identification
Type of Identification troduced
Commission No. C Notary Publ(oS,�t§� of Florida
• . Antonia M Paula
--e4' My Commission FF 19i2ni
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS