HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
I I Permit Number: / �/Q C1 -0_37a-
PI I,� Building Permit Application QSly� �
, Wing and Development Services �uc/e
BuVing and Code Regulation Division !-7
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
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LIMIT APPLICATION FOR: Electrical
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P-R'��� PQ's"t :INfPROVEMENTsLOCATIU`N`
Address:
6669 Gaviota Cir
Lega `;Description: Spanish Lakes Fairways
Proprty Tax ID #: 1306-500-0032-000-0
Site `I an Name:
4
Proje111t Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.17
Block No. 38
I4'DET.A'l' D 1E CRI,PTIONEJfOF WORK. . '£, . w
Install, mechanical interlock panel
CON TRUCTION INFORIVIATIO�N $ " " 9
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Additlional
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work to be nertormed under
HVAC Gas Tank
this permit — check
❑Gas Piping
a
apply:
Windows/Doors
Pillectric
_Shutters
0 Plumbing
Sprinklers
1:1 Generator
Roof Roof pitch
Total J��.
Ft of Construction:
S . Ft. of First Floor:
Cost o
Construction: $ 3395.00
Utilities: EjSewer Septic
Building Height:
OWNER%LESSEE
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CONTRACTOR
Name Tamara & Kenneth Buettner
Name: Michael Flaxman
AddresIll 6669 Gaviota Cir
Company: Energized Electric
City: Fort Pierce State: FL
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip COL: 34951 Fax:
Phone it 0,505-217-6030
Zip Code: 34981 Fax: 772-318-6672
E-Mail
Phone No. 772-466-1095
Fill in fee simple Title Holder on next page if different
izedGenerators
E-Mail: Ener g @gmai1.com
State or County License: EC13006279
from t Ile Owner listed above)
4
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
dSUPP EMEN 'AL CONSTRUCTION LIEN LAW�WORMATION
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Ndme: Tamara& Kenneth Buettner
—
Name:MichaelFlaxman
Adress: 6669 Gaviota Clr
Address: 6669 Gaviota Cir
City: FortPierce State:
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Ciy: Fort Pierce State:
Zi: Phone
Zip: Phone:
FE't SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Applicable
Name:
—Not
Name:
AO ress: 4M Bandy Blvd
Address:
City:
City:
Zip:
Phone:
Zip: Phone:
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 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 col;�sideration 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 AIlowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesisory 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
imprjovements 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 recgirding vouf-flotice of Commencement.
Sign ture of 0ener/ Lessee/Cdntractor as Agent for Owner
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ST TE OF FLORIDA Luc,
COUNTY OF
LrigoingThe inst ume t was cknowled ed before me
this day of J 20 by `
- Name of perso making statement
Pers Ilnally Known 7 OR Produced Identificatio
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Typeiof IdentificationO
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Produced
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(Signlature Notary Public- State of Florida)
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.'om Mission No. (Seal)
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DATE;I
RECEIVED
DATE111
COMP,LET
Rev. 81IV17
Signature of tontrdctorILicense,14older
STATE OF FLORIDA
COUNTY OF y'k
The forgoing instruni was acknowledgpd before me
Is day o fl— 20by
inn , _ i _ _ I ,--- I , . , _ _ I
Name of pelrsi)n making statement
rsonally Known OR Produced Identification
pe of Identificatio
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re of Notary Public -State of Florida )
(Seal)
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FRONT I ZONING SUPERVISOR I PLANS VEGETATION SEA TURTLE MANGROVE
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