HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPIL CCABL`E INFO MUST BE COMPLETED FOR,APPLICATION TO BE ACCEPTED 1 L
Date: \4 Permit Number:
SCANNED
BuildiBY
ng0Pe mo t AP . Iication FcE�vE®
7PIanningevelopment Servicesde Regulation Division2300 Vir ia Avenue, Fort Pierce FL 34982-ounty, Per
Phone: (1172) 462-1553 Fax: (772) 462-1578 Commercial ' 136911dentrdl
PERMIT'
PPLICATION FOR: Generator
PROPOSED IMPROVEMENT LOCATION:
Address:
Legal De
Property T
Site Plan N
Project Na
Setbacks
16 Poinciana Ct
otion: Meadowood Unit One Lot 13(.17AC)(OR 3991-1527)
ID #: 1334-503-0015-000-1
Smith
Front Back: Right Side: Left Side:
DETAILEID DESCRIPTION OF WORK:
Install 22" generator with 200 amp transfer switch with load sharing modules
Lot No. 13
Block No.
CONSTR CTION INFORMATION:
Additiona :work to be performed under this permit — check all apply:
nHVAGas Tank ❑Gas Piping Shutters Q Windows/Doors
Ele ric Plumbing ❑Sprinklers Generator Roof Roof pitch
Total Sq. F1 of Construction: Sc� Ft. of First Floor:
Cost of Co �truction: $ 9795.00 Utilities: LnJ Sewer E]Septic Building Height:
OWNER
,LESSEE:
CONTRACTOR:
Name Jer
Address:9
City: Fort Pierce
Zip Code:
Phone No.
E-Mail:
Fill in fee si
from the O
Smith
Name: Michael Flaxman
Company: Energized Electric
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
,16 Poinciana Ct
State:FL
,4951 Fax:
72-465-5141
�1
ple Title Holder on next page (if different
ner listed above)
17
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPIIEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIG ER/ENGINEER:
— Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
son & Grace Baran
Name: Michael Flaxman
Add res
:16265 S Carlton Adams Rd
Address: 16265 Carlton Adams Rd
City: Fo Pierce
State:
City; Fort Pierce State:
Zip: I Phone
Zip: Phone:
FEE SI PLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Add res : 4252 Bandy Blvd
Address:
City:
City:
Zip;
Phone:
Zip: Phone:
OWNER CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify th t no work or installation has commenced prior to the issuance of a permit.
St. Lucie Cilease
unty makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is inonftlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structure.(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 accorda ce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
11
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory tructures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNIN TO OWNER: Your failure #o Record a Notice of Commencement may result in your paying twice for
improve ents to your property. A Notice of Commencement must be recorded and posted on the jobsite
before th,p' first inspection. If you intend to obtain financing, consult with lender or an attorney before
�ll:� ..t. r..17 •�.��r ntirc of rn► manrPm Pnt
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Signature'' Ow r/ essee ontractor as Agent for Owner
Signature o o ractor/License Holder
STATE OF FLORIDA 1
STATE OF FLORIAQ
COON OF r, (� ��•i-� .
COUNTY OFF �-6-
The for o g instru e t was acknowled ed before me
The f�r�oing instrument as acknowledged before me
this ay of 2 by
this ay of 20�by
�MrA�
FJ`
rl'PA rA.
� poi
_
ICI
�-C'b
Name of per n making statement
OR Produced Identifica
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'nm��_
n rn
ame of p r n making statement
g 0�;
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Personall Known OR Produced Identificati
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ersonally Known
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Type of ld ntification
ype of Identification
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Produce d��
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roduced
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Signat a of Notary Public- State of FloridaN
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(Seal)
L�ti�x
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Commission No. (Seal)
�' Co
REVIEW
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED',I
DATE
COMPLET
D
Rev. 8/2/17