HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONS.
L APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED l� I U,, (�
ate: Permit Number: U
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Building Permit Application perm�rr;,,90 ?0'0
lanning and Development services St Lucie Coup rent
uilding and Code Regulation Division h"
300 Virginia Avenue, Fort Pierce FL 34982
hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
Pi
RMIT APPLICATION FOR: Generator
i ,
P" OPOSED IMPROVEMENTLOCATION3:
ress: 7703 Winter Garden Pkwy
iI Description: Lakewood Park Unit 5 Elk 48 Lot 18(Map 13/11 N)(Or 2489-162)
P rL De rtv Tax 1 D #: 1301-605-0218-000-5
SiL Plan Name:
Pr�pject Name:
S tbacks Front Back: Right Side: Left Side:
Lot No.18
Block No. 48
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CONSTRUCTION INFORMATION:
itlona wor to e e orme under this permit —check a apply:
❑HVAC ri Gas Tank ❑Gas Piping`, Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers 't' Generator E]Roof Roof pitch
T tal Sq. Ft of Construction: t S . Ft. of First Floor:
C st of Construction: $ 9995.00 Utilities: Sewer OSeptic Building Height:
OWNER/LESSEE:
'"
CONTRACTOR
(V
Add
CI
Zip
P
F�
frpm
me Julie Archer
Name: Michael Flaxman
ress: 7703 Winter Garden Pkwy
Company: Energized Electric'
y. Fort Pierce State:FL
Code: 34951 Fax:
one No. 772-643-0241
Mail:
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
I in fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
of construction is $2500 or more, a RECORDED Notice of Commencement is required.
Li
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JU,PPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
City:
ZIP:
_ Not Applicable
a m e: Julie Archer
MORTGAGE COMPANY: _ Not Applicable
N a m e: Michael Fiaxman
Address: 7703 Winter Garden Pkwy
dd ress:7703 Winter Garden Pkwy
Fort Pierce State:
Phone
City: FortPierce State:
Zip: Phone:
FEE
Ihp:
SIMPLE TITLE HOLDER: _ Not Applicable
ame:
BONDING COMPANY: Not Applicable
Name:
d d res s : 4252 Bandy Bird
Address:
ity:
City:
Phone:
Zip: Phone:
0 1VNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I a rtify 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
strbcture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In I onsideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in ccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
Th following building permit applications are exempt from undergoing a full concurrency review: room additions,
ac essory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
W RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
i provements to your property. A Notice of Commencement must be recorded and posted on the jobsite
b fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or re-cordingyfir Notice of Commencement. ,
re of
ATE OF Fl
IUNTY OF
ntractor as Agent for Owner I Sign ature6of/Contrktor/License Holder
forgoing instrument was acknowledged before me
25' day of 20A by
Name of person making statement
ersonally Known _ X OR Produced Identification
ype of Identification
roduced
Signature
ommissio fi
FR�3o3I t.
REVIEWS
ATE
ECEIVED
ATE
OMPLETED
f. 8/2/17
STATE OF FLORIDA
COUNTY OF S1 - LVt, is
The forgoing instrument was acknowledged before me
this el,5r day of 20J by
r4iCkae1 emmam
Name of person making statement
Personally Known OR Produced Identification
Type of Identificatio
Produced
cis&&
(Signature of Notary Public- S
NICHOLE A�PONTE ,ia.. �lICHOLE APONTE
r vri '.,.
"= SSION #(�.43031 Commission No _ = MMISSIO���g63031
EXPIRES May 04, 2020 'fib Q<c EXPIRES May 04, 2020
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FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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