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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL IPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 9 Dat :• ��' SCANNED Permit Number: �-cl it. Lucie Covol RECEIVED Building Permit Application Plan ing and Development Services AUG ®2��$ Buil {ng and Code Regulation Division ST. Wde County, Permitting 2319ql Virginia Avenue, Fort Pierce FL 34982 Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential 1. PER IT APPLICATION FOR: Generator i'', PRbl?OSED IMPROVEMENT LOCATION: Legal 5710 Paleo Pines Cir Holiday Pine Subdivision Phase 1 Plat Book 18 Pgs 16-16a to D Prope�ty Tax ID #: �12-500-0029-000-5 Site Phan Name: Project Name: Hudson Setbalcks Front Back: Right Side: Left Side: DETdILED'DESCRIPTION OF WORK: Install' 22KW generator with 200 amp transfer switch with load sharing modules Lot No.28 Block No. CONSTRUCTION INFORMATION: Additional work to be ne orme under Gas Tank this permit— check ❑Gas Piping a apply: Shutters a Windows/Doors qHVAC I —_I ,� lectric El Plumbing ❑Sprinklers Generator Roof Roof pitch Total . Ft of Construction: S�Ftj of First Floor: Cost o Construction: $ 9700.00 Utilities: L_I Sewer Septic Building Height: OW 'ERAESSEE: CONTRACTOR: Name Addre City: Zip Cde: Phone E-Mai Fill in from t i oy Hudson Name: Michael Flaxman Company: Energized Electric 's:5710 Paleo Pines Cir lost Pierce State:F� 34951 Fax: No.772-971-6365 Address: 4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No. 772-466-1095 : qee simple Title Holder on next page( if different e Owner listed above) 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. - SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: — Not Applicable MORTGAGE COMPANY: _ Not Applicable Na e: Roy Hudson N a m e: Michael Raman Ad reSS: 5710 Paleo Pines Cir Address: 5710 Paleo Pines Cir City, FortPierce State: City: Fort Pierce State: Zip:Phone Zip: Phone: I FEE SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable Na e: Name: Adri ess: 4252 Bandy Blvd Address: City: City: Zip: Phone: Zip: Phone: OWN ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certi' 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 which s 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. In con lderation of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in acc irdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The fo lowing building permit applications are exempt from undergoing a full concurrency review: room additions, acces ory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WAR I ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for impr, vements to your property. A Notice of Commencement must be recorded and posted on the jobsite befo le the first inspection. If you intend to obtain financing, consult with lender or an attorney before rnmrrianrinu wnrk nr rPrnrrlimg vnur Notice of Commencement. i I Sign lure of w er/ Less a/Contractor as Agent for Owner Signature Co rnctor/License Holder STA rE OF FLORIDAk STATE OF FLORIDA ) - CO NTY OF(�� COUNTY OF The orgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this ii— day of V S 20_M by this __Cl_ day of J4Vq u5% , 20J_j byFIC =� ��_ Name of perso making statement =� �� Name of pers n making statement Personally Known OR Produced Identification "%9O4 . �� Pers nally Known q OR Produced Identific ion'1 r 10V K 3 TYPE of Identification o D Type of Identification Prod ced 3 -< "cnn Produced c. o -- �''A^0°m101 Sig at a of Notary Public- State of Florida) c c R (Signatu of Notary Public- State of Florida) Nm Lo ma cy Com ' ission No. (Seal) mmc mCommission No. (Seal) Co y V Q A A RE VIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE REC 'IVED DATE CO JPLETED Rev. 8/2/17