HomeMy WebLinkAboutBUILDING PERMIT APPLICATION!`
APPLICABLE INFO MUST BE COMPLETED FO,t%lC T N TO BE ACCEPTED
v d�
te: ,1 ,� BY Permit-N'imber:
.: as a
RECEIVED
Building Permit Application AUG 0 2 2018
ning and Development Services
ling and Code Regulation Division ST. Lucie County, Perr
) Virginia Avenue, Fort Pierce FL 34982
ne: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
P `RMIT APPLICATION FOR: GeneratorEl
PROPOSED IMPROVEMENT LOCATION:
Ad ress: 16265 S Carlton Adams Rd
Description: Luke's Lots(PB 41-4) Lot 8(7.552 AC) (OR 3723-223; 4025-1834: 4058-1302)
ierty Tax 1D #: 2236-700-008-000-6
Plan Name:
act Name: Baran
Jacks Front Back:
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No.8
Block No.
Ins�bll 22KW generator with 150amp entrance transfer switch with load sharing modules
CONSTRUCTION INFORMATION:
Ad Jitional work to be nerformed under this permit —check all apply:
` HVAC LJ Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
10 Electric 0 Plumbing ❑Sprinklers Generator Roof Roof pitch
Sq. Ft of Construction: _
of Construction: $ 9600.00
Sq. Ft. of First Floor:
Utilities: Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Nar
leJason & Grace Baran
Name: Michael Flaxman
ess:16265 Carlton Adams Rd
Ad
Company: Energized Electric
Fort Pierce State:FL
Code: 34945 Fax:
Ci
Zip
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Phol
a No.772-678-5632
Zip Code: 34981 Fax: 772-318-6672
E-A
ail:
Phone No. 772-466-1095
n fee simple Title Holder on next page ( if different
the Owner listed above)
Fill
froi
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
If vai,4e of construction is $2500 or more, a RECORDED Notice of Commencement is required.
f _\
�..
�X +. y:Y, t?rY.•v .-.rK, �s.. d __`t, .Ttnn.5�. n �s^`t�i eM ..{IT"'lS �_yi�� 4 4ti.' i-v'L' n^r�»�..Y>71' i .s�-:.-'.:'t'S 'x' ,: i ,.x:rk"� ' '. 5' tii 3 Ti-F`fr` zR W Fx
(tRPLEMENaLQV Cf}s7N�tt£NlAU�1 FO MATIQI�,��`�� �`�i3
a��'..'�t�
.
+s xscyi.''..ti'�;F ,h.-., 4".:'.s.�?r L.icY�`.s\i"�...,,.iF?.4ts'4rwi.�,E.
�F)`:v,•0... u+�.i; b_. .,;:
ESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
a me: Jason & Grace Baran
Name: mchaei Flawman
ddress:16265 s cadton Adams Rd
Address: 16265 cadton Adams Rd .
d
ity: Fort Pierce
State:
City: Fort Pierce
State:
ip: Phone
Zip: Phone:
SEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
_Not Applicable
ame:
Name:
d d ress: 4252 Bandy Blvd
Address:
ity:
City:
Zip: Phone:
lip: Phone:
O NER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
IiertifV that no work or installation has commenced prior to the issuance of a permit..
St Lucie County makes. no representation that is granting a permit will authorize the permit holder to build the subject structure
wh ich is in conflict with any applicable Home Owners Association rules,.bylaws or and covenants that may restrict or prohibit such
stf I icture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration 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,
ac Iessory 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
iniprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
b ;fore the first inspection.. If you intend to obtain financing, consult with lender or an attorney before
rr, Imanrincr urnrle nr rarnrrlina vni IvAntirp of rnmmPnrPmPnt_
i
I
Signature
Ow r/ essee/ ontractor as Agent for Owner
Signature o o ractor/License Holder
ITATE OF FLORIDA
STATE OF 'FLORI
,
,OUNTY OF t �..IC,I � .
COUNTY OF Lc r C-
he forgoing instr�u t ,w�as acknowled ed before me
The f r o n instrument• as acknowled d before me
this ay of 2 by
is �ay of �d 20�by
I
hr,�M.
IAL� CAn
Name of pe n making statement
Known OR Produced Identifica
%1111 ``.tea
n
Name of p r n making statement ;i'
�'�+:;,•,,,
ersonally Known .OR Produced Identificati
ersonally
�b
pe of Identification c)m
ype of Identification
go m r
roduced 33 m
roduced
�3 o cn
c)3o
c. o
N
3 1A
�3aoD
00
-6a8*0= p
�a
�3.=nIlk
Signa u of Notary Pu Sic- State of Florida)
N o n z n
Sica of Notary Public- State of Florida)
N 5 w
mmission No. (Seal)
NT5m�
"'� w< =
Commission No. (Seal)
Nx W.2N
_ m
In00cm
u m
wvvA
v gr
EVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
1ATE
ECEIVED
ATE
0MPLETED
. 8/2/17