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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