HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
LE INFO MUST BE COMPLETED FOR APPLICATION TO BE. ACCEPTED
)"7 Permit Number:
SCA
NNED .
By
_ St Lucie count.
Building Permit Applicaton
ing and Development Services
rig and Code Regulation Division
Virginia Avenue, Fort Pierce FL 34982
e: (772) 462-1553 Fax: (772) 462-1578 Commercial
-20 9' t7�
[Ell
C-1n, All
SEP 12 2018
Permitting Departrnen
St. Lucie.County, 1=L
Residential
PER IT APPLICATION FOR: Generator
0
PROPOSED IMPROVEMENT LOCATION:
Address: 1300 Lancewood Terr
Legal lbescription: Harbour Ridge- Plat 9_ Lancewood Village Unit 1
Pro pertyTax ID #: 4426-804-0011-000-8 Lot No.
`Site Pllan Name: Block No.
Proje it Name:
Setb cks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
22KW generator with 200amp transfer switch with load sharing modules
CONSTRUCTION INFORMATION:
Additional wor to e e orme under this permit — c ec a apply:
L ill HVAC Gas Tank ❑Gas Piping Shutters a Windows/Doors
_hlectric Plumbing USprinklers RIGenerator Roof Roof pitch
Tota Sq. Ft of Construction: - S . Ft. of First Floor:
Cost of Construction: $ 9295-QQ". Utilities:n Sewer Septic Building Height:
I "d
O ,NER/LESSEE:
CONTRACTOR:
Narrli
Addrlless:1300.NW
City:�
I�
Zip
Phone
E-
Fill i
fro i
Joan Nartowt ,,-`: ';
Name: Michael Flaxman
Lancewood-.Ter
Company: Energized Electric
Palm Cit '.State: FL
34990
code: Fax:
No.772-873-45601
Address: 4252 Bandy Blvd
. Fort Pierce FL
City. State:
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
ail:
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:
DES
'GNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Na ry
ile• JoanNartowt
Name:Michael Flaxman
Add
ess:1300 Lancewcod Terr
Address: 1300 NW Lancewood Ter
Palm City State:
City
City: Fort Pierce State:
Zip:
Phone
.I
Zip: Phone:
FEE
PIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
e.
Name:
Add
ress:4252 Bandy Blvd
Address:
City:
City
Phone:
1
Zip: Phone:
Zip:'
OW ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi I that no work or installation has commenced prior to the issuance of a permit.
St. Lu le 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
structure. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In conIlideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco�rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folllowing building permit applications are exempt from undergoing a full concurrency review: room additions,
acces l ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WA KING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo 'ie the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or e(Zor ingy6ur Notice of Commencement.
I
I
Signli
ture of Own / essee/ ontractor as Agent for Owner
Signature Co ra or/Lic nse Holder
ST4iTE
OF FLORIDA �
STATE OF FLORIDA,/� 1
COUNTY
OF 9 47 (v Q
COUNTY OF
11
The
forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this
day of (} ri1b" )12 by
this � day of �4cxn .f r , 20� by
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_f
Name of per o making statement =o �'
'�%ram
Name of p rs n making statement
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Per$$o
Wally Known OR Produced Identificat! ��
Personally Known OR Produced Identification
Typle
of Identification o °: >
Type of Identification
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uc d 1< 3 m
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C_ O y T (n
c3LAig�.0
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(Si
of Notary Public- State of Florida) N ° c> zn
(Signature o Notary Public- State of Florida)
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mission No. (Seal) N=
Commission N o. (Seal)
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RIVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RE pEIVED
DATE
CQ14LETED
Rev.
/2/17
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