HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
Building pp Permit Application SEP � 1018
Planning and Development Services pen►'tt/ng peg N, nnM1
Building and Code Regulation Division
23001 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator
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PROPOSED IMPROVEMENT LOCATION: CANNE_0
8043 Plantation Lakes Dr
Address:
Legal Description:
Reserve Plantation- Phase IIA-Lwd,
Prope
Site PI
Projec
Setba
y Tax ID #: 3321-803-0045-000-7
1 Name:
Name:
cs Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
I Install122KW generator with (2)150 amp transfer switches with load sharing modules
Lot No.41
Block No.
CONSTRUCTION INFORMATION:
iti
nal work to e nertormed under this permit— check
VAC n Gas Tank Gas Piping
all apply:
Shutters
Q Windows/Doors
Electric ElPlumbing
❑Sprinklers
RI Generator
E]Roof Roof pitch
Total Slq.
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Ft of Construction:
S Ft. of First Floor:
Cost of
Construction: $ 10395.00
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Utilities
Sewer
Septic
Building Height:
OWN
ER/LESSEE:
CONTRACTOR:
Name
Address:8043
City: Fort
Zip Code:
Phone
E-Mai
Fill in lee
from the
jDavid & Gerry Vigrass
Name: Michael Flaxman
Plantation Lakes Dr
Company: Energized Electric
Address: 4252 Bandy Blvd
St Lucie State: FL
34986 Fax:
No.703-405-0658
City: Fort Piere State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
:
simple Title Holder on next page ( if different
Owner listed above)
If value) of construction is $2500 or more, a RECORDED Notice of Commencement is required.
s !'
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
DESI�GNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Naiile: David&Gerry vgrass
Name: MichaelFlauman
Add ress:8o43 Plantation Lakes Dr
Address: 8043 Plantation Lakes Dr
City: Port St Lucie State:
City: Fort Piero State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name:
Ad d iess: 4252 Bandy Blvd
Name:
Address:
City:
City:
Zip: Phone:
Zip: I Phone:
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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 i in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu�e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons'deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco dance 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
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording vour.Notice of Commencement.
Signa#ure of Oyner/fessee/Cop(tractor as Agent for Owner Signature o tonjractor/Li rise Holder
COUSTATETY OF FLORIDA t j �/ COUNTY OOF F FLORIDASTATE OF
�V ( C
The forgoing instrument was acknowledged befor The forgoing instrument was acknowledged before me
this o_Q!� day of 20A by a;5'►'Nod, this _m1,5: day of J Q4y% d tr- , 20A by
Name of person making statement
''""_
�,
D
or
Name of person making statement
Personally Known OR Produced IdentificationType
1),'4
Personally
Known OR Produced Identifica
nz
CD0
of Identification
r)� (n
Type of Identification
Pro iced
= 3 T D
Produced
Z
C_
of Notary Public- State of Florida)
Zr W K =
(Signature of tary Public- State of FloridaCD
(Signatur
Co
Comri'lission
No. (Seal)
�, -QD
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATEI
RECEIVED
DATEI
COMPLETED
Rev. 8h/17