HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ^
Permit Number: 1nQU-oqE9_
Date:
RECEIVE®
Building Permit Application
Planning and Development 5ervices JUN 2 12017
Building and Code Regulation Division PERtuiITTING
2300 Virginia Avenue, Fort Pierce FL 34982 Al
ci ounty, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ResiA"Alat
PERMIT APPLICATION FOR: Generator
i
PRO.FOSED
.4
I,IVI'PROVEMENT� �" `k
LQ`CP►TION `.`- h.
Address: 9608 Knollwood Lane Fort Pierce FL 34951 '
Legal Description: Monte Carlo Country Club unit three lot 46
Property Tax ID #: 1327-107-016-000-4
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.46
Block No.
IInstall 22kw standby generator with (1) 200amp service entrance rated transfer switch with load
sharing modules
iditional work to be ertormed under tnls permit— cnecK all apply:
❑HVAC Gas Tank ❑Gas Piping Shutters
❑ Electric ❑ Plumbing []Sprinklers Generator
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ �/. � Q b Utilities: ❑ Sewer ❑ Septic
❑ Windows/Doors
❑ Roof Roof pitch
Building Height:
m o-+�
OWNER/LESSEEa w��.R��Y 5. ,
- .'r_ i. ...r acr._.9• t _', 'ov
' fw
C "NTR�AuZT®R;�,y�
- s �6F
���?r�+��t
NameTerry Garner
Name: Michael Flaxman
Address:9608 Knollwood Lane
Company: Energized Electric
City: Fort Pierce State: _
Address: 4252 Bandy Blvd
Zip Code: 34951 Fax:
City: Fort Pierce
State: FL
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.
SUPPLEMENTAL CONSTR{UCTIOPN LIEN :LAW
INFORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone:
Zip: Phone:
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 youigtend to obtain financing, consult with lender or an attorney before
commencing work or recordi ur Notice of Commencement.
Signature
ntractor as Agent for Owner I Signature oftCefitractor/License
STATE OF COUNTY OF ORIDyn ��� e) COUNTY STATE OF OF FLORIDA v& (' � „ f�
The forgoing instr ment w s acknowledge efore me
this 5 day of 20 Ll by
Wk shad 'PMMM
(Name of. erson acknowledging )
aA)v�U\ CIL- 1�fl C
Y
(Signature of Notary Public- State of Florida )
Personally Known OR Produced Identification
Type of Identificatio Produced
Commission No.
Notary Public State of Flor(da
c My Commission Fr
Revised 07/1E F1W Expires02/27/2019
The forgoing instrument was acknowledged -before me
this S day of: dJ A &I 20 k I by
)Wce_d RUM
(Name of person acknowledging)
N'q 4C.J CL-
(Signature of Notary Public- State of F orida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Notary Public State of Florii
ua
i My Commission FF 191201
Expires 021272019
A
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS