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
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Name of per n making statement
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Name of p rs making statement
Known OR Produced Identification
Personally Known OR Produced Identificatio
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Type of Identificatioh
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Commission No. (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
i
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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