HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number: ' v�
RECEIVED
3 01018
Building Permit Application I'ermlttinAUG VGo De rt
Pa ment
Plann' g and Development Services St, Lucie County
Buildig and Code Regulation Division
2300 irginia Avenue, Fort Pierce FL 34982
Phon 2: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator El
ANE
PROPOSED IMPROVEMENT LOCATION: 8C t11LJ
v
Addres II 8101 Kiawah Trace
Legal 0Ali scription: Pod 25 At The Reserve
Tax ID #:3327-705-0011-000-7
Site Plash Name:
ame:
Setba �is Front Back: Right Side: Left Side:
DETA SLED DESCRIPTION OF WORK:
Install 2KW generator
Lot No.10
Block No.
CONSTRUCTION
INFORMATION:
rti
❑
'na workto e e orme -under this permit — check
IVAC Gas Tank ❑Gas Piping
a
apply:
❑ Windows/Doors
_Shutters
❑E
I
lectric ❑ Plumbing
❑Sprinklers
FV] Generator
❑ Roof Roof pitch
Total S
. Ft of Construction:
S . Ft. of First Floor:
Cost of
Construction: $ 3659.20
Utilities
Sewer❑Septic
Building Height:
OWN
R/LESSEE:
CONTRACTOR:
Name
Addres
City: P
Zip Co
Phone
E-Mail
Fill in f
from tf
rrold Duroseau
I
Name: Michael Flaxman
Company: Energized Electric
Address: 4252 Bandy Blvd
:8101 Kiawah Trace
rt St Lucie State: FL
e: 34986 Fax:
N o.772-529-1129
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
ee simple Title Holder on,next page ( if different
'ie Owner listed above)
l
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.
SUP
,LEMENTAL CONSTRUCTION_ LIEN LAW INFORMATION:,
DESI
Nam
Addr
City:
Zip:
NER/ENGINEER: _ Not Applicable
: ErroldDuroseau
MORTGAGE COMPANY: _ Not Applicable
Name:MichaelRaxman
Address: 8101 10awah Trace
City: Fort Pierce State:
Zip: Phone:
SS: 8101wawahTrace
IortStLucie State:
Phone
FEE S
Nam
Addr
City:
Zip:
MPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
ss:4252Bandy Blvd
1
Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify1that 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
structur . 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 'wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessc V structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNI NG TO OWNER: Your failure to a ord a Notice of Commencement may result in your paying twice for
impro 'cements to your property. A N t' a of Commencement must be recorded and posted the jobsite
beforelthe first inspection. If you in d to obtain financing, consult with lender or an att ney before
comm ncing work or recording v r Notice of Commencement. A
re of Owner/
as Agent for Owner I Signature of
Holder
STAT OF FLORIDA / STATE OF I LORIDA
COU TY OF � of �Il ,(P _ COUNTY OF t, '. ��ICA'
The fojgoing instrument was acknowledged before me,
thi
�_f
day of
V 20A by
aS * 4,1C
Name of per6jn making statement
Personally
Known N OR Produced Identification
',f
< 3 m
Type
Identification
Pr
032
c a
s ��1//� //7 ///j/,'{////J/,1 //� L I,
1 d TV 1 I�I/ 1// f! 1Y1 n�t
m
�y.*T
of Notary Public- State of Florida) N m"
NX �
i No. (Seal) m co
m va
REVIEWS I COUO TER I REEVI W
DATE
DATE �17
COMPET
Rev. 8/
ing instrument was acknowledged before me
day of 14VgpSt— , 201t by
Name of perso making statement
nally Known OR Produced Identification >
of Identification
�Aotary Public- State of Florida) N m
No. (Seal) i
11 to
SUPERVISREVIEWOR I REV EW I VREVIEWON I SEATURTREV EWLE I MREVIEWVE