HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONa
ALL A IPLICA INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
SCANNED
BY
• St. Lucie Coun AUG
J 1`
il- _ Building Permit Applica+�,._
Plann' g and Development Services D rtment
Buildi, g and Code Regulation Division fY E
2300 irginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
ICI
PER
,I IT APPLICATION FOR: -Generator
PROPOSED
IMPROVEMENT LOCATION
Addre s: 7273 S Indian River Dr
Legal Ilescription: 7 36 41 S 150 FT of S 11.75 AC of N 24.75 AC of Fract Sec with Rip Rights
i
Propetty Tax ID #: 3507-332-0003-000-6
Site PI n Name:
Projec �-� Name:
Setba Ilks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF'WORK;
Install ,221<W generator with (2) 150 amp transfer switches with load sharing modules
Lot No.
Block No.
41
CONSTRUCTION INFORMATION:
Additional work to be erformed under tispermit—check all that apply:
VAC Gas Tank ❑Gas Piping Shutters Q Windows/Doors
❑Electric 0 Plumbing OSprinklers R1 Generator E] Roof Roof pitch
Total 1q. Ft of Construction: S� of First Floor:
Cost o Construction: $ \ . Unities: Sewer 0Septic Building Height:
OWNER/LESSEE:
CO„NTRACTOR:
Name
Address:
City: Fort
Zip C('lde:
Phone
E-Ma
in
from
Ginger King
Name: Michael Flaxman
Company: Energized Electric
Address: 4252 Bandy Blvd
7273 S Indian River Dr
Pierce State:FL
34982 Fax:
No.772-201-1130
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
I:
.lee simple Title Holder on next page if different
�I he Owner listed above)
EnergizedGenerators@gmaii.com
E-Mail: Ener 9 @9mail.com
State or County License: EC13006279
If value; of construction is $2500 or more, a RECORDED Notice of Commencement is required.
5
t
SUP
,LE'MENTAL CONSTRUCTION LfEN LAW INFORMATION:
DESI
Nam
Ad d r
City:
Zip:
NER/ENGINEER: _ Not Applicable
I: Ginger King
MORTGAGE COMPANY: _ Not Applicable
N a me: Michael Flaxman
Address: 7273 S Indian River Dr
SS: 7273 S Indian River Dr
sort Pierce State:
Phone
I
Fort Pierce
City: State:
Zip: Phone:
FEE SIMPLE
Nam
Addr
City:-]
Zip:
TITLE HOLDER: _ Not Applicable
,:
BONDING COMPANY: _Not Applicable
Name:
ISS:4252Bandy Blvd
Address:
City:
Phone:
l
Zip: Phone:
OWNR/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi4 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 is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu I * Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consi Jeration 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 foll (wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso;i 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
impro ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspe�pIon. If�oyy.. intend to obtain financing, consult with lender or an attorney bef
commencina work Wreco Zl vourDidtice of Commencement. /
re of Owrkr/ Lessee/Contractor as Agent for Owner I Signature of
STAT� OF FLORIDA
COUNTY TY OF
The fQ'r' ing instrum nt was a knowledg d before me
this / day of r✓ 20W by
Name of per`
Perso ally Known _
Type Of Identification
Holder
STATE OF FLORIDA '/�
COUNTY OF c .�,1t_
The forgoing instru ent was knowled a before me
this day of __v , 3 by
aking statement Name of pers n making statement
OR Produced Identificati Personally Known OR Produced Identification
ype of Identification
of Notary Public- State of Florida )
Commission No.
DATE
RECEI. ED
DATE I
COM ILET
Rev. 8/ %17
(Seal)
K o °: Produced
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