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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION} ALL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED SCANNED Permit Number: w BY WM, Ste Lurie C®un Rece&eD Building Permit Application JUL io 2`018 Plan)J ing and Development Services Psfmltting De Bull d1rg and Code Regulation Division gig, LwCILb county 2300 (Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMIT APPLICATION FOR: GeneratorEl PRO_,OSED IMPROVEMENT LOCATION Addre s: 7500 Eden Rd Legal lescription: Lakewood Park- Unit 2- BLK 13 Lot 13 Property Tax ID #: 1301-602-0057-000-9 Site PI In Name: Project, Name: Setba ks Front Back: Right Side: Left Side: DETAILED DESCRIPTION OF WORK:' Install 16KW generator with 200amp transfer switch with load sharing modules Lot No. 13 Block No. 13 CO'NRTRUCTIO:N ]NFORIVIATION: Add iti 'i na I work to be nortormed un er t is permit— checkall VAC Ej Gas Tank ❑Gas Piping apply: Shutters ❑ Windows/Doors ❑ lectric 0 Plumbing Sprinklers Z Generator ❑ Roof Roof pitch Total Sq. Ft of Construction: S . Ft. of First Floor: Cost o Construction: $ 8895.00 UtilitiesInSewer Septic Building Height: OW ER/LESSEE:, CONTRACTOR: Name Addre City: F� Zip Code: Phone E-Mai Fill in from t ohn & Loretta Allen Name: Michael Flaxman 1 7500 Eden Rd Company: Energized Electric rt Pierce State: 34951 Fax: d 772-461-3793 Address: 4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No. 772-466-1095 No. f ee simple Title Holder on next page ( if different e 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. SUPLEMENTAL CONSTRUCTION LIEN LAWIN DES Nary Add City: Zip: NER/ENGINEER: Not Applicable e : John & Loretta All MORTGAGE COMPANY: Not Applicable N a m e: Michael Flawan ess: 7500 Eden Rd Address: 7500EdenRd Fort Pierce State: Phone City: Fort Pierce State: Zip: Phone: FEE Na Add City:I Zip: S4IMPLE TITLE HOLDER: _ Not Applicable e: BONDING COMPANY: _Not Applicable Name: ess:4252BandyBlvd Address: City: I Phone: Zip: Phone: OWN R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated: I certif 1 that no work or installation has commenced prior to the issuance of a permit. St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure which i� In conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structu'e. 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 acco dance 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, access ,ry 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 beforil the first inspection. If you intend to obtain financing, consult with lender or an attorney before com ncing work or recoCcling your Notice of Commencement. Sign ntractor as Agent for Owner STATE OF FLORIDA COU�TY OF The f 'r oing instrument was acknowledged before me this day of y I Y 20 �$ by 11 Name of p son making statement Perslally Known OR Produced Identification Type bf Identification (Sign 411PV=May9%20 SIONF"3031 Com fission . re 0 Co/(traXor/License Holder STATE OF FLORID COUNTY OF r_ 4. bt t, if C. The forgoing instrument was acknowledged before me this day of 7U 20)1 by im Oxgsie r 4xM12A Name of person making statement Personally Known OR Produced Identification Type of Identificati Produced (Signature ;440')391W153 pubrAllcw EFIAM TE MY COMMISSION # FF963031 Commission FxaiRFS May 040509) Fbrw.Nae service.com REV WS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECE ED DATE COM LETED Rev. 8/2/17