HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BkCCEPTED _
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Building Permit Applica ion AUG 2 2 2018 I
Plan � ing and Development Services
Building and Code Regulation Division Permitting D e p a rtrr
23001 Virginia Avenue, Fort Pierce FL 34982 St. I_U C j e C 1 ty l
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Restd
PERMIT APPLICATION FOR: Generator
PROPOSED IMPROVEMENT LOCATION_ :
Address: 154 NE Hemet St
Legal Description: River Park - Unit 9- Part C
Prope'lrty Tax ID #: 3419-570-0041-000-6 Lot No.20
Site Plaan Name: Block No. 75
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install, 16KW generator with 150amp transfer switch with load sharing modules
CONSTRUCTION INFORMATION:
Additional work to e e orme under tispermit—checka apply:
[iHVAC Ej Gas Tank ❑Gas Piping Shutters Q Windows/Doors
Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
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Total it . Ft of Construction: S Ft. of First Floor:
Cost o Construction: $ 3659.20 Utilities: Sewer El Septic Building Height:
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OW NER/LESSEE:
CONTRACTOR:
Name [Michael Allen
Name: Michael Flaxman
Company: Energized Electric
Add resis:154 NE Hemet St
City: Port St Lucie State: FL
Address: 4252 Bandy Blvd
Zip Code: 34983 Fax:
City: Fort Pierce State: FL
Phone'INo.772-343-7816
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail:
Fill in fee simple Title Holder on next page if different
E-Mail: EnergizedGenerators@gmail.com
from t� a Owner listed above)
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
Nat me: Michael Allen Name: Michael Flaxman
AG d re ss: 154 NE Hemet St Address: 154 NE Hemet St
City' Port St Lucie State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
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FEE ;SIMPLE TITLE HOLDER: _ Not Applicable BONDING COMPANY: Not Applicable
Name: Name:
Ad dress: 4252 Bandy Blvd Address:
city' City:
Zip:11 Phone: Zip: Phone:
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OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify 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 N in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu11 re. 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,
access8ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
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WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If y intend to obtain financing, consult with lender or an attorney before
comm Iencin wok or recor . our Notice of Commencement.
Signa' lure of wn r/ Less a/Contractor as Agent for Owner
Signature of o ractor/License Holder
STATE OF FLORIDA }�
STATE OF FLORIDA �))
COUNTY OF L�T I _l'aC��
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COUNTY OF c Tl1- �- L( Y'a e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of 4vgilst by
this /57 day ofu5 f 20 by
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REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
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REVIEW
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REVIEW
REVIEW
REVIEW
DATE1
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COMPLETED
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