HomeMy WebLinkAboutBULDING PERMIT APPLICATIONALL APPLIICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: II Permit Number: 100 I' (A),
'I
- SCANNED RECEIVED
BY
Building All;ption tion JUL 3 0 2018
Plannin 'and Development Services Permittin Department
Buildin Viand Code Regulation Division St.L le County
2300 V1, finia Avenue, Fort Pierce FL 34982
Phone'' (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERM T APPLICATION FOR: Generator 1771
-
PROPOSED IMPROVEMENT LOCATION:
Addres 'l: 1720 Cody Ln
Legal I scription: Country Living Estates S/D Blk Alot 8 (1.72 AC)(OR 936-1090)
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Prop 11 y Tax ID #: 2305-500-0008-000-3 Lot No.
Site P an Name: Block No.
Proje i Name: Stuart
Setb cks Front Back: Right Side: Left Side:
DE AILED DESCRIPTION OF WORK:
Inst 122KW generator with 200 amp transfer switch with load sharing modules
CONSTRUCTION INFORMATION:
Additional work to orme under this permit —,heck a apply:
0HVAC f Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric Plumbing []Sprinklers Generator E] Roof Roof pitch
T Sq. Ft of Construction: S . Ft. of First Floor:
C?pI Construction: $ 10000.00 Utilities: Sewer Septic Building Height:
t of
OWNER/LESSEE:
CONTRACTOR:
ameHarry Stuart
Name: Michael Flaxman
Ldress:1720 Cody Ln
Company: Energized Electric
I7ity: Fort Pierce State: FL
Address: 4252 Bandy Blvd
Zip Code: 34945 Fax:
City: Fort Pierce State: FL
Phone No.772-332-2736
Zip Code: 34981 Fax: 772-318-6672
E Mail:
Phone No. 772-466-1095
Fill in fee simple Title Holder on next page ( if different
E-Mail: EnergizedGenerators@gmail.com
from the Owner listed above)
State or County License: EC13006279
IIf value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEI+ IENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNE�2/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:Haro Stuart
Name:MichaelRaxman
Address: 1720 Cody L.
Address* 172o Cody Ln
City: FortPerce State:
City: Fort Pierce State:
Zip: I Phone
I
Zip: Phone:
FEE SIM ' LE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: 11
Name:
AddreSg,6 4252 Bandy Blvd
Address:
City: 11
City:
Zip: Phone:
Zip: 11 Phone:
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OWNERI, CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify tat no work or installation has commenced prior to the issuance of a permit.
St. Lucie Coun makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is i' 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.
In consid ration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accor ance 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,
accesso fry 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
impro4ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
beforglthe first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour Notice of Commencement. .11
II
Signalure of Own r/ L ssee/Co tractor as Agent for Owner
Signat re C ntracto icense Holder
STATE OF FLORIDA
STATE OF FLORIDA
CO I1 NTY OF__:% . Luz. a
COUNTY OF ,%. Luu e
The orgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 4 day of July , 20A by
this � day of Su IV , 20-1& by
IMichael Fiaxlmc.tyl
IMwInctel Ff ?,K l
IJ Name of per on making statement
Name of person making statement
Pe sonally Known OR Produced Identification
Personally Known V OR Produced Identification
Type of Identification
Tye of Identification
Produced
Produced
ignature
(Immissiol
(Signature of Notary Public- State of Florida )
5�*: NICHOLE APON E
. . .•= I SIGN # �1;031
Commission qR NICH®L� ARQl��E
EXPIRES May 04.2020
' 'e MY COMMISSION # FF963031
'' car
14C7t" 398 0' 53 Floridat'laa-ySo�Q.
EXPIRES May 04, 2020
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MANGROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
k' ECEIVED
DATE
COMPLETED
8/2/17