HomeMy WebLinkAboutBUILDING PERMIT APPLICATION9
ALL AF
Date:
BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED (� rl s,
Permit Number: \ l o " 0 �
RECEIVED
Building Permit Application Allr, 3 0 2010
Planni �Ig and Development Services Permitting Department
Buildig and Code Regulation Division St. Luci County
23001 Irginia Avenue, Fort Pierce FL 34982
Phon� (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERI�IT
APPLICATION FOR: Generator j-I
PROPbSED
IMPROVEMENT LOCATION:
Add res
c 7901 Kenwood Rd
Legal Description:
Lakewood Park -Unit 5-
_ p amu��°�II�uV
Propert�
Tax ID #: 1301-605-0225-000-7 Lot No.25
Site Plari
Project
Name: Block No. 48
Name:
Setback"rs
Front Back: Right Side: Left Side:
1,1
DETAILED DESCRIPTION OF WORK:
Install 2KW generator with (2) 200 amp transfer switches with load sharing modules
CONSTRUCTION INFORMATION:
Add itional work to e nerformed under this permit —check all apply: i
11H' AC0 Gas Tank ❑Gas Piping Shutters ❑ Windows/Doors
Elactric ❑ Plumbing Sprinklers Generator ❑ Roof Roof pitch
i
Total Sq. Ft of Construction: S . Ft. of First Floor:
9200.00 _
Cost of Construction: $ Utilities: Sewer Septic Building Height:
OW N I�,'R/LESSEE:
CONTRACTOR:
Name dianiel
Addres47901
City: Fort
Zip Cod
Phone
E-Mail:
Fill in fe�
from the'
& Rhonda Mark
Name: Michael Flaxman
Kenwood Rd
Company: Energized Electric
Pierce State: FL
l : 34951 Fax:
0.772-468-8200
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
simple Title Holder on next page ( if different
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.
r
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI' NER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
N a m : Daniel & Rhonda Mark
_
N am e: Michael Flaxman
Address: 7901 Kenwood Rd
Add r ass: 7901 Kenwood Rd
I
City: IF, Pierce State:
City: Fort Pierce State:
Zip: III Phone
III
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
I�
BONDING COMPANY: _Not Applicable
Nam
Name:
Address:
AddressI�
:4252BandyBlvd
City: II
City:
Zip: Phone:
Zip: 11 Phone:
!1
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certif� 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 islin conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur 6. 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 accor'ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll iiwing 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't he first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recordingyour Notice of Commencement.
of Ow*r/tessee/Contractor as Agent for Owner I Signature of
STATE OF COUNTY OF ORIDA 1 'J ` /) I COUNTY OF STATE OF FLORIDA sl�
The fo Igoing instrument was acknowledged before me
this _ day of &gp5rF 2015 by
Name of perso making statement
Personally Known OR Produced Idi
Type cit Identification
of Notary Public- State of Florida )
Commission No.
(Seal)
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0300
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The forgoing instrument was acknowledged before me
this ag day of 6V4USr(— . 2018 by
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produ ed
0
LO
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Z �3
(Signature Notary Pubi IVA
lic- State of Florida) o j
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Commission No. (Seal) Na
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REVIEWS I COUONT ONING NTER REVI W I SUPERVISOR REVIIEWI REVIEW I V REVIEW I S REVIEW LE I MANGROVE
DATE Ill
RECEIVED
COMP'! ET
Rev. 8/2%17
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