HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: I�l�'�� jai Permit Number:
Building Permit Application DEC. 0 g 2017
Planning and Development Services
Building and Code. Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
.Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT APPLICATION FOR: Generator
m:
PROPOSED IM'PROVEMENTLOCATI®IV
Address: 1206 NW Winters Creek Road
Legal Description: Harbour Ridge Plat 17 Tract G 10S and Pine Village Lot 4 or 2738-2581: 3889-347, 350
Property Tax ID #: 4423-701-0008-000-9
Site Plan Name:
Project Name: Darcy Weir
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
SUPPLY AND INSTALL 38 KW GENERATOR WITFV 2:004-?NON SERVICE ENTRANCE RATED
TRANSFER SWITCH WITH LOAD SHED MODULES
11HVAC Ll Ga�Tarik ❑Ga:
9Electric' O';i?lumbing []Spr
Total Sq. Ft of, Cons> rtiicion:
Cost of Construction: S
"Shutters
FIGenerator
QWindows/Doors
E] Roof Roof pitch
Ft. of First Floor:
Sewer ❑Septic Building Height:
OWNER/LESSEE
,CONTRACTOR *A4, 4
NameDARCY WEIR
Name: Mike Flaxman
Company: Energized Etectr;ic'
Address:1206 WINTERS CREEK RD
City: PALM CITY State:FL
Zip Code: 34990 Fax:772-318-6672
Phone No.772-877-3440
E-Mail:jennifer.energized@gmail.com
Fill in fee simple Title Holder on next page ( if -different
from the Owner listed above)
Address: 4252 Bandy Blvd.
City: Fort Pierce State -FL
Zip Code: 34981 Fax:
Phone No. 772-877-3440
E-Mail: jennifer.energized@gmail.com
State or County License: EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
I d '
SUPPLEMENTAL CONSTRUCTION,L�IEN
L`AININFORMATION.
DESIGNER/ENGINEER: Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name : DARCY WEIR
N a m e : Mike Flaxman
Address: 1206 WINTERS CREEK RD
Add re55:1206 NW Winters Creek Road
City: PALM CITY State:
City: Fort Pierce State:
Zip: Phone
i
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: 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
bylaws
which is in conflict with any applicable Home Owners Association rules, 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 thiss 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 in nd to obtain financing, consult with lender or an attorney before
commencingwork o recording r Notice of Commencement.
Signature of 0 er/ I - see/ ontractor as Agent for Owner
Signature of ont ctor/License Holder
STATE OF GRID r q J, , o � �
CTATE OF ORID�1
COUNTY OF
OUNTY OF
The f g 'n 'nstrum n y,a�ack'nowled r efore me
this of 15ml 20 by
The inst e a cknowledg ore me
this ay of 20WY
I l I� 'Ft�i1yl��
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Name of per aking statement
Personally Known OR Produced Identification
Name of pe s making statement
Personally Known OR Produced Identification
Type of Ide`ntitifi�at}'o r / / ,�, n
Produced YC.f mq� [Ly-0' a n
Type of Identification
Produced AYPbB JE NIFERCORSON
on # GG 158192
N Explr er 30� 02t
t°i,iN p t aot
I ature of Notary Public- State of FI I�1
(S' n re of Notary blic- State of Flo '
�otr4 ; u JENNIFER CB�tSON
C ission NQ. *mWsWn#GGJW9g
C ission No. (Seal)
N Q Expkes October 30, 2021
9�OF F�OQo Banded Tluu BudpetNotary Servkes
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTERiI
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
i
COMPLETED
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Rev. 8/2/17 j