HomeMy WebLinkAboutBUILDING PERMIT APPLICATION' � 1
ALL AF
Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: MOTOX59
j'��\U RECEIVED
Liu Cie, cwkBuilding Permit Application
Plannipg and Development Services
Buildi�g and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
Permitting Department
St. Lucie County
Residential Yl.�
PER
, IT APPLICATION FOR: Generator =_
PROPOSED
IMPROVEMENT LOCATION:
Legal
Prol
Site
Proi
133 Queen Christina Ct
criotion: Queens Cove -Unit 1- BLK 9 Lot H
:y Tax ID #: 1414-701-0079-000-0
n Name:
Name: Knaggs
ks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Instal 221<W generator with 200amp transfer switch with load sharing modules
Lot No. H
Block No. 9
CONSTRUCTION INFORMATION:
q ona woe to jeperformedunder this permit— check a apply:
HVAC L3 Gas Tank Gas Piping _ Shutters ❑ Windows/Doors
Electric El Plumbing ❑Sprinklers WIGenerator E] Roof Roof pitch
Total q. Ft of Construction: S�Ftj of First Floor:
Cost f Construction: $ 10195.00 Utilities. LJSewer Septic Building Height:
OW,:N ER/LESSEE: CONTRACTOR:
li Nam Shelley Knaggs Name: Michael Flaxman
Addr) ss:133 Queen Christina Ct Company: Energized Electric
City: Fort Pierce State: _ Address: 4252 Bandy Blvd
Zip 1 ode: 34949 Fax: City: Fort Pierce State: FL
Phone No.772-332-7786 Zip Code: 34981 Fax: 772-318-6672
E-, ,ail: Phone No. 772466-1095
Fill i fee simple Title Holder on. next page (if different E-Mail: EnergizedGenerators@gmail.com
from the Owner listed above) - State or County License: EC13006279
If va(i a of construction is $2500 or more, a RECORDED Notice of Commencement is required.
r
SUP ELEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESILNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Nam `ShelleyKnaggs
Name:MichaelRaxman
Add r SS:133 Queen Christina Ct
Address: 133 Queen Christina Ct
City. Prt Pierce State:
City: Fen Pierce State:
Zip: 11 Phone
11
Zip: Phone:
FEE S
MPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Nam
:
Name:
SS: 4252 Bandy Blvd
Addr
Address:
City:
City:
Phone:
Zip: Phone:
Zip:
R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
that no work or installation has commenced prior to the issuance of a permit.
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
leration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
wing building permit applications are exempt from undergoing a full concurrency review: room additions,
y structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
ements to your property. A Notice of Commencement must, be recorded and posted on the jobsite
the first inspection. If you intend to obtain financing, consult with lender or an attorney before
mcing work or recording our Notice of Commencement.
Signa
ur of wne Lessee/Contractor as Agent for Owner
Signa r of Con actor/License Holder
STA
E OF FLORIDA
STATE OF FLORIDA
CO
TY OF St. I�VCI P
COUNTY OF Luc -if
The f�
r.going instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this
lit day of jV I , 26 I by
this _Jk day of Jtj I I .20JI by
mtdvoa IF14mytoMtc
haitl Ftayir"
Name of person making statement
Name of person making statement
Pers
nally Known �_ OR Produced Identification
Personally Known_ OR Produced Identification
Typ
I of Identification
Type of Identification
Prod
iced
Produced
��.LGI LD� G�.000.lI�INV
(Sig
ature of Not
- State of Finrida I
(Signature of Notary Public-
State of Florida )
�►'" "'•- NICL APONTE
''R'�
�•
Com
ission No.
".;: NICHOL APONTE
..
Commission No.
COMMISMA # FF963031
MY CO ON # FF96303,1
EXPIRES May 04, 2020
'•'•'.710; POP EXPIRES May 04, 2020
007) 378-0' S3 FbndaNda SM100-com
(47)3g"' 53
RE
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RRIVED
DATE
COMPLETED
Rev. �V2/17