HomeMy WebLinkAboutBUILDING PERMIT APPLICATION4
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � O 6 .
Date: tl/ ' J U 1 7 Permit Nu
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Building Permit Applicati n JUN 18 2018
Planning and Development Services Permitting Department
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie C t)/, FL
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT APPLICATION FOR: Generator El
PROPOSED IMPROVEMENT LOCATION:
Address: 3616 Grove Ct
Legal Description: The Grove at Panther Woods (PB 40-5) Lot 10 (or 1425-2528)
Property Tax ID #: 1327-805-0006-000-0
Site Plan Name: Ronald Vincent
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION.O'F'WORK:
IInstall 22,000 watt generator, model #7043
With a 200amp service entrance rated transfer switch with load sharing modules
Lot No.10
Block No.
CONSTRUCTION INFORMATION:
Additional work to a er orme under
11HVAC 11 Gas Tank
this permit — check
❑Gas Piping
a apply:
Shutters
Windows/Doors
11 Electric El Plumbing
Sprinklers
Generator
E]Roof Roof pitch
Total Sq. Ft of Construction:
��(�1 [5�
S�Ftj of First Floor:
Cost of Construction: $
Utilities:
L_I Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Ronald Vincent
Name: Michael Flaxman
Address:3616 Grove Ct
Company: Energized Electric
City: Fort Pierce State:FL
Zip Code: 34951 Fax:
Phone No.772-465-5218
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: EC13006274
If value of construction is 52500 or more, a RECURDEU Notice of Commencement is requires.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Ronald Vincent
MORTGAGE COMPANY: _ Not Applicable
N a m e: Michael Flawnan
Ad d ress: 3616 Grove Ct
Address: 3616 Grove ct
City: Fort Pierce 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
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 youjntend to obtain financing, consult with lender or an attorney before
commencing work or recording4our Notice of Commencement.
L__;441�v
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Signature of Own'6r,/Lessee /Contractor as Agent for Owner
-
Signature o Co tracto(/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Lt
COUNTY OF ,SJ-. L.u,IQ
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 1L day of 'font- , 20JI by
this _�L day of ' QNL 20AE by
ftG �"n
MteAw( fia)Clman
Name of person making statement
Name of person making statement
Personally Known _( OR Produced Identification
Personally Known _� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Pu lic- State of Florida)
(Signature of Notar Public-
NIDHO>LIE APONTEE
:eAe:YeS'•. NIOHOLE SATE
Commission N (�
Commissio =j�o MY GE)WAISSION # F613*1
MY COAAAAISSION # FF563031
Q,
9' EXPIRES May 04. 2020
EXPIRES May 04, 2020
7 393.1)'S3 rloridallo:arySorvice.com
REVIEWS
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
FRONT
ZONING
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17