HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
��� Permit Number:
"AA
J _ BY ^ St. Linde Coo � �'�@�
RECEIVED
Building Permit Application -JUL i s 2ols
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucie County
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential (z?,
I�IPERMIT APPLICATION FOR: GeneratorED
PROPOSED IMPROVEMENT LOCATION:
Address: 2675 Conifer Dr
Description: Monte Carlo Country Club- Unit Two- Lot 198
perty Tax ID #: 1334-502-0079-000-4 Lot No.198
Plan Name: Block No.
iect Name: O'Grady
backs Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Ilj'stall 22KW generator with 200amp tansfer switch with load sharing modules
CONSTRUCTION INFORMATION:
itiona work to e e orme under this permit — check a apply:
10HVAC E] Gas Tank ❑Gas Piping Shutters Q Windows/Doors
VElectric r I Plumbing Sprinklers9 Generator Roof Roof pitch
T tal Sq. Ft of Construction: S . Ft. of First Floor:
i
C II st of Construction: $ 10395.00 Utilities: Li Sewer ElSeptic Building Height:
QWN
ER/LESSEE:
CONTRACTOR:
N6me
Al
Hedwig O'Grady
Name: Michael Flaxman
Company: Energized Electric
dress:2675 Conifer Dr
City:
Fort Pierce State:FL
Address: 4252 Bandy Blvd
P
4Z ip Code: 34951 Fax:
one No.360-770-8883
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
E
,Mail:
Phone No. 772-466-1095
I in fee simple Title Holder on next page (if different
I�Im the Owner listed above)
Fi
fr
E-Mail: EnergizedGenerators@gmai.com
State or County License: EC13006279
If 0blue of construction is $2500 or more, a RECORDED Notice of Commencement is required. .
1I.SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Hedwig O'Grady Name: Michael Flaxman
Address: 2676conifer Dr Address: 2675ConiferDr
City: Fort Pierce State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress: 4252 Bandy Blvd
City:
Zip: Phone:
BONDING COMPANY: Not Applicable
Name:
Address:
City:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
ISt. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
yuhich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
n consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
n accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
he following building permit applications are exempt from undergoing a full concurrency review: room additions,
ccessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
�ARNING 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
Eommencine work or recordiniz vour Notice of Commencement.
L�
Signature of n / Les a/Contractor as Agent for Owner
Signature f ntra (r/License Holder
STATE OF FLORID,& .
STATE OF FLORIDA
COUNTY OF 7SI- Luc 12
COUNTY OF 54. Lyei e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of Tij 1 l , 2018 by
this 6 day of Tu I y , 20Ak by
IM.tC&Z1 FAa,Xrnan
MtCRar( Aaww)
Name of person making statement
Name of person making statement
Personally Known —X— OR Produced Identification
Personally Known
9 OR Produced Identification
Type of Identification
.
Type of Identification
Produced
Produced
(Signature Of. u ME
(Signature
;•".�ti; NICHOLE APONTE
Commissi '� �= MY COMMISSION # F(5@W31 W%5031
Commissio 14b ••= COMMISSION # Flft*l 1F'Fgb3031
' PIRES May 04, 2020
a; EXPIRES May 04. 2020
N071398 C'S3 Floridahloa sorvico.cw.
14C71398-0•53 FbrldaNda .com
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
8/2/17