HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO
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FJUN 18 2018
Building Permit Application
Planning and Development Services Permitting Department
Building and Code Regulation Division St. Lucie untyr FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential `
PERMIT APPLICATION FOR: Generator '-
PROPOSED IMPROVEMENT LOCATION:
Address: 1531 NW Buttonbush Cir.
Legal Description: Harbour Ridge -plat 13-Buttonbush Village Unit 19 (or 3795-2061)
Property Tax ID #: 44267815-0026-000-0
Site Plan Name:
Project Name:
Setbacks Front Back: Right Side: Left Side:
Lot No.
Block No.
1[6ETAILED DESCRIPTION OF WORK:
Install 22KW generator with 200amp entrance transfer swith with load sharing modules
CONSTRUCTION INFORMATION:
Additional work to be nertormed under tis permit —check all apply:
�HVAC Gas Tank Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing ❑Sprinklers Generator F]Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 10095.00
Sq.
of First Floor: _
Utilities: �1Sewer DSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Fidaho LLC
Name: Michael Flaxman
Address:1531 Buttonbush Cir.
Company: Energized Electric
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.419-376-5000
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: Fidaho LLC
MORTGAGE COMPANY: _ Not Applicable
N a m e: Michael Flaxman
Ad d ress: 1531 NW Buttanbush Cir.
Address: 1531 Buttonbush Cir.
City: Palm City State:
Zip: Phone
City: Fort Pierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress: 4252 Bandy Blvd
BONDING COMPANY: Not Applicable
Name:
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
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 recordipg your Notice of Commencement. 11
Signature o 0 ner/ L, ssee/Contractor as Agent for Owner
Signature of ntr for/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF �% tyUL�
cc''
COUNTY OF . Lt,G, t
cif -
The forgoing instrument was acknowledged before me
The fo going instrument was acknowledged before me
this 4Lday of dune. 201t by
this day of :[M,t. , 201& by
Atchae( fiery ayl
Mte at( Fja_j4 nm
Name of p rson making statement
Name of person making statement
Personally Known OR Produced Identification
Personally Known — X OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notar. P iJ0jida4_
N� NICHOLE APO JT
Commiss C
ION # FF963031
, ".a4 I�IIOHOLE APONTE
Commi sia n N # F17966%9�I
a,zq,•` EXPIRES May 04, 2020
EXPIRES May 04, 2020
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(4C7r393.0'S
(4C7)398.•`0'53 FloridallotarySFrvica.com
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17