HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A �PLICAB E INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:'1. 94. VS SCANNED
Permit Number: 1
BY
_ v _ St. ' ude County r__IRE_CEIVD
Building Permit Application JUL 2 4 2018
Plann g and Development Services ST, Lucie County, Permitting
Buildilg and Code Regulation Division
2300 irginia Avenue, Fort Pierce FL 34982
Phon il: (772)'462-1553 Fax: (772) 462-1578 Commercial Residential
PERIV�IIT
APPLICATION FOR: Generator 7,
PROP
3SED IMPROVEMENT LOCATION:
Addri
Legal
9423 Poinciana Ct
ption: Meadowood Unit One Lot 33 (017 AC)(OR 1331-2674)
Prope Tax ID #: 1334-503-0035-000-7 Lot No.33
Site Pla �i Name: Block No.
Project Name: Federico
Setbac s Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install l,21(W generator with 200 amp transfer switch with load sharing modules
CONS, i RUCTION INFORMATION:
itio VV a workto e e orme under this permit— check a apply:
❑H AC 13 Gas Tank ❑Gas Piping _ Shutters ❑ Windows/Doors
FIE ectric ❑ Plumbing ❑Sprinklers Generator ❑ Roof Roof pitch
Total Sq1 Ft of Construction: S . Ft. of First Floor:
Cost of C,onstruction: $ 9795.00 Utilities: 0Sewer ❑Septic Building Height:
11
OWNq�,R/LESSEE:
CONTRACTOR:
Name 8Fuce
Address�
City: Fo;t
Zip Cod
Phone IN1
E-Mail:
Fill in fe
from the
Federico
Name: Michael Flaxman
Company: Energized Electric
Address: 4252 Bandy Blvd
9423 Poinciana Ct
Pierce State:FL
�I. 34951 Fax:
772-429-2384
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
!I
l simple Title Holder on next page ( if different
Owner listed above)
E-Mail: EnergizedGenerators@gmaiLcom
State or County License: EC13006279
It value ot, construction is 52500 or more, a RECORDED Notice of Commencement is required.
'SU PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DE IGNER/ENGINEER: _ Not Applicable
NaeruceFededco
MORTGAGE COMPANY: _ Not Applicable
Name: Michael Flaman
Fie:
Ad Tres$:9423 Poinciana Ct
Clt II Fort Pierce State:
Zip: Phone
i
Address: 9423 Poinciana ct
City: Fort Pierce State:
Zip: Phone:
FEE
'�IMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
Ad c
e:
Name:
Address:
�'ess:4252Bandy9Nd
Cit
Zip:
City:
Phone:
Zip: Phone:
:R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
y that no work or installation has commenced prior to the issuance of a permit.
e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
owing building permit applications are exempt from undergoing a full concurrency review: room additions,
Iry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
DING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
vements 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
encing work or recording Your Notice of Commencement. .r
i
Sign ure of n / Lessee Contractor as Agent for Owner
Signature of nt ctor/Lice se Holder
I
STA IE OF FLORIDA
STATE OF FLORIDA
CO NTY OF Lu ci C.
COUNTY OF rV . L.ue.ie
The f r oing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this day of 'T_ u , 20 J� by
this m day of ;Tu 1 V 20A by
r K tcbae, I
tAichaef Figm%an
Name of person making statement
Name of person making statement
Pei
finally Known _ OR Produced Identification
Personally Known_ OR Produced Identification
Type
Df Identification
Type of Identification
Prod
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j
Produced
(Sign
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(Signature
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