HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date": r,aNNPD Permit Number.
RECEIVED
_ �i Lucie C- euri Y
Building Permit Applicatio AUG 2 3 7018
ing and Development Services
ng and Code Regulation Division ST. LY.be Caun�Y, f orml�0ln9
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator a
PROPOSED IMPROVEMENT LOCATION:
Address: 9417 Pinebark Ct
Legal Description: Monte Carlo Country Club- Unit One-
Prol
Site
Proi
y Tax ID #: 1327-801-0045-000-3
i Name:
Namp:
cs Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
CO
Total
Cost
22KW generator with 200 amp transfer switch with load,sharing modules
RUCTION INFORMATION:
al work to be verformed under
HVAC " Gas Tank
Electric 0 Plumbing
;q. Ft of Construction:
F Construction: $ 9295.00
Lot No.156
Block No.
tnis permit —cnecK an mal apply:
Gas Piping LJ Shutters Q Windows/Doors
❑Sprinklers WIGenerator Roof Roof pitch
S Ft. of First Floor: _
Utilities:0 Sewer E]Septic
Building Height:
,OWN
ER/LESSEE:
CONTRACTOR:
Name
Addrl1
City:
Zip CI
Phone
E-Mail:
Fill ir
from
Donald &Sylvia Westover
Name: Michael Flaxman
ss:9417 Pinebark Ct
Company: Energized Electric
Address: 4252 Bandy Blvd
Fort Pierce State: FC
de: 34951 Fax:
No.740-815-2791
City: Fort Pierce State: FL
Zip Code: 981 Fax: 772-318-6672
Phone No. 772-466-1095
fee simple Title Holder on next page ( if different
the 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
Nam
Ie: Donald & Sylvia Westover
_
Name: Michael Flaxman
rIess; 9417 Pinebark Ct
Add
Address: 9417 Pinebark ct
FortPiarce State:
City: Fort Pierce State:
City:
Zip:
Phone
I
Zip: Phone:
FEE
SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Naryie:
_
Name:
Add Tess: 4252 Bandy Blvd
Address:
city:
City:
Zip: 11 Phone:
I
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certifjr 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 t: in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
deed for
structtIte. Please consult with your Home Owners Association and review your any restrictions which may apply.
In cons'deration 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,
accessory 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
improvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
Sign6 ure of caner/ Less a/Contractor as Agent for Owner
Signature f C ntractor icense Holder
STATE OF FLORID\��(
STATE OF FLORID 1
COUNTY OF 1 �
COUNTY OF Cam. 1�
The forgoing instrument was acknowledg efore me
The forgoing instrument was acknowledged -before 11
this day 2No
this day of A,,4vS-�- 20�by
of
C 0RZ
Name of person making statement
mob;
P g�r��",`Name of ers n makin statem�Personally
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Known OR Produced Identificat
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VEGETATION
SEA -TURTLE
MANGROVE
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REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8
2/17