HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONII }
ALL APPLICABLE INFO MUST BE COM1PLETED FOR APPLICATION TO BE ACCEPTED
IITDate: PermitNumber:
SC����® luaw�edaa 6ul11wsaad
BY
• ste Luce Com* 810181 IfIr
Plannilig
Buildi
2300
Phon
II ouriurr-r6 rCrrnrL HNNirc,crLiuri aanr�0aa.
and Development Services
g and Code Regulation Division
irginia Avenue, Fort Pierce FL 34982
1. (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER 4T
APPLICATION FOR: Generator =,
PROPOSED
IMPROVEMENT LOCATION:
Addres
; 18506 Mach One Dr
Legal D
I scription; Aero Acres Blk 1 Lot 8 (2.058 AC) (OR 636-1087;3921-541)
Proper
y Tax ID #: 3215-801-0015-000-6 Lot No.8
Site PI
Projec IlName:
In Name: Block No. 1
Setba Iks
Front Back: Right Side: Left Side:
DETAILED
DESCRIPTIO:N.OF WORK:
Install
22KW generator with 200amp service transfer switch with load sharing modules
CONSSTRUCTIO'N INFORMATION:
Add itibna I work to be nertormed
HVAC
LJIElectric El
under this permit —check all
Gas Tank Gas Piping
Plumbing 11 Sprinklers
apply:
Shutters 11'Windows/Doors
Generator E] Roof Roof pitch
_
E]
Total li q. Ft of Construction:
Cost qlf Construction: $ 9995.00
S Ft. of First Floor:
UtilitiesInSewer Septic Building Height:
OW'; ER/LESSEE:
CONTRACTOR:
Nam
Addr
City:
Zip
Pho
E-M
Fill i
fro
Bertha Owen
Name: Michael Flaxman
Iss:18506 Mach One Dr
Company: Energized Electric
�ort Saint Lucie State: F�
ode: 34987 Fax:
L No.772-595-9562
Address: 4252 Bandy Blvd
City: Fort Pierce State -.FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
il:
fee simple Title Holder on next page ( if different
the Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
If val(ie of construction is $2500 or more, a RECORDED Notice of Commencement is required.
A .: .
SUP'
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION,:
DESII
NER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
N a m
le: Bertha Owen
N a m e: Michael Flaxman
Add
i eSS: 18506 Mach One Or
Address: 18506 Mach One Dr
Saint Lucie State:
City: Fort Pierce State:
City:.IPort
Zip:
Phone
Zip: Phone:
FEE
IMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: _Not Applicable
Name:
_
Name:
Ad d
reSs:4252 Bandy Blvd
Address:
I
City:
City:
I Phone:
I
Zip: Phone:
Zip:
OWN 4 R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi 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 's in conflict with any applicable Home Owners Association rules,, bylaws or and covenants that may restrict or prohibit such
struct �e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con Ideration 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,
access o 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrr�iiiencin work or recording our Notice of Commencement.
I
Sign
ure of w er/ Le see/Contractor as Agent for Owner
Signatu a of o actor/License Holder
STAI
E OF FLORIDA
STATE OF FLORIDA
COUNTY
OF � ��� r i r2.
COUNTY OFL� . L1LC'; e-
The ),orgoing
instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this
day of 7U I 20A by
this _L(g_ day of 20A by
Mtc (
MIC'hael f1aXma,rt
Name of person making statement
Name of person making statement
Pers
nally Known_ OR Produced Identification
Personally Known )` OR Produced Identification
Typ
of Identification
Type of Identification
Pro
ced
Produced
(Sig
(Signature of Nota -'"NICHOLE
�latur
'• �•? F
APONTE
COTissi
MY COMMISSION # Q31
Commission No. =• •=RW COMMIS91&@W FF963031
'•wRp ,.• EXPIRES May 04, 2020
=,
'• of EXPIRES May 04, 2020
1407) 398 0'S3 Fioridalloa com
(407) 39" 53 rloddaNdarySorvioo.com
REVIIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DA1
F
RE EIVED
DAI
F
CO ,PLETED
Rev. 8�%2/17