HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONf
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: G J S A i�;Atl VIIn@B^14ED Permit Numb
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Building Permit Application
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
PERMIT APPLICATION FOR: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 9382 Scarborough Ct
Legal Description: Pods 12 & 13 pud 1 at the reserve
Property Tax ID #: 3322-507-0014-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
JUN 18 2018
Permitting Department
St. Lucie unty, FL
Resi ential
DETAILED DESCRIPTION OF WORK:
Install 22KW generator with 200amp entrance transfer with load sharing modules
Lot No.
1.9114M Me
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit— c hecka apply:
E1HVAC Gas Tank —]Gas Piping _Shutters Q Windows/Doors
R] Electric 0 Plumbing Sprinklers ElGenerator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 4995.00
Sq. Ft. of First Floor: _
Utilities: L_ISewer[] Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Daniel Damiano
Address:9328 Scarborough Ct.
Name: Michael Flaxman
Company: Energized Electric
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Daniel Damiano
MORTGAGE COMPANY: Not Applicable
N a m e: Michael Flaxman
Address: 9382 Scarborough Ct
Address: 9328 Scarborough Ct.
City: Port Saint Lucie State:
Zip: Phone
City: FortPierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Ad d ress: 4252 Bandy Blvd
City:
Address:
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 or recording our Notice of Commencement.
Signature of Owner/ Le see/Contractor as Agent for Owner
Signature of Contr6ctor/Licefise Holder
STATE OF FLORIDy,
STATE OF FLORIDA
COUNTY OF V LVCI�e_.
COUNTY OF 51 LyCt-e_
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1 day of %'S \34 -,C . 20 V ? by
this 1.� day of 1 � t 0R 20� by
�_k CIA a e i fX tA)% Aro
k�a e V4%xk de r,
Name of perso aking statement
Name of person making statement
Personally Known 1� OR Produced Identification
Personally Known yo"_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
it L. 4AA
1
( ignature of NotaMEE
(Signature of Notary I -
blic State of Florida
Commission No.NE (,&AI4COWDELL
;per Notary Public State of Florida
Commission No. . CHRISTINf.MAE�I COWDELL
My Commi 154932
� to a 51Qission G 154932
10/25/2021
I ��
�jrli �5�Q3 ps, Expires 10/25/2021
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17