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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONE _ ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: Permit Number: - Pl f Building Permit Application ROE Planning and Development Services SEP �81019 Building and Code Regulation Division permitting Department 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential Lucie county PERMIT APPLICATION FOR: Generator i- PROPOSED IMPROVEMENT LOCATION: Address: 7717 Wexford Way Legal I Description: Reserve Plantation -Phase 1-Lot 52 Site Proj rty Tax I D #: 3321-801-0052-000-3 an Name: :t Name: cks Front _ Back: DETAILED DESCRIPTION OF WORK: Right Side: Left Side: o CANNED 22KW generator with (2) 200 amp transfer switches with load sharing modules Lot No.52 Block No. CONSTRUCTION INFORMATION: 70ditional work to e e orme under t-checkispermit a apply: ®HVAC Ei Gas Tank ❑Gas Piping Shutters Q Windows/Doors ElElectric 0 Plumbing Sprinklers Generator 0— Roof Roof pitch Tota Cost 1. Ft of Construction: Construction: $ 11800.00 S Ft. of First Floor: _ Utilities: Sewer E]Septic Building Height: OWN ER/LESSEE: CONTRACTOR: Name Robert Deery Name: Michael Flaxman 7717 Wexford Wa Address: y City: Port St Lucie State: FL Zip C. 34986 - Fax: Phone No.772-465-6254 Energized Electric Company: g Address: 4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No. 772-466-1095 E-Mail: EnergizedGenerators@gmail.com State or County License: EC13006279 E-Mail: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: RobertDeery MORTGAGE COMPANY: _ Not Applicable Name: Michael Flaxman Address: 7717 Wexford Way Ad d ress: 7717 Wexford Way City! Port St Lucie State: Zip: Phone I City: Fort Pierce State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Not Applicable Name: BONDING COMPANY: Not Applicable Name: Address: City: Ad d ress:4252 Bandy Blvd 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. Lucff!e 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 consideration 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 beforie the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencine work or recordina-vour Notice of Commencement. I t Signatur of 0 r/ Less a/Contractor as Agent for Owner Signature o Co ractor/Lic se Holder STATE OF FLORIDA - 11 COUNTY OF - 1 �z STATE OF FLORIDA ' COUNTY OF ,V The forgoing instrument was acknowledged before me The for oing instrument was acknowledged before me this.-4 day of 20 fg by 's day of 20 18 by :���5 • Nei . 1 H11 bcwl IM(A( Name of per n making statement °'o, , ,,gym' /,llll„ Name of p rs making statement Known OR Produced Identification Personally Known OR Produced Identificatio ti rsonally Type of Identificatioh K o W� pe of Identification PrQdUc ;3 0 oduced 3LOA `o E3y Atj( �300 J o 3•� a T. N ( ig ature Notary Public- State of Florida) CO) N ignature of N ary Public- State of Florida) N m c� { Commission No. (Seal) X •o ra mmission o. (Seal) ti w �; CO CDm N Cry CO REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE i COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 8/2/17 i