HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat: `b '3. 1 Permit Number: ( O O
mr RECEIVED
Building Permit Application OCT 0 3 2018
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division —
2300I Virginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator
MANNED �-
PROPOSED
._ .�.a<
IMyPRO\/EM.ENT
t
LOCATION = „'
.E
Address:
2690 Conifer Dr
aY
Legal
Description: First Replat in Meadowood Unit Three -
Property Tax ID #: 1334-506-0003-000-3
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
InstaIII22KW generator with 200amp transfer switch with load sharing modules
Lot No.46
Block No.
CQNSTRUCTIO
NON
FORM, ION
Additionalworkto benertormed
❑ VAC Gas Tank
under tis permit —c ec
❑Gas Piping
a
apply:
Shutters
❑ Windows/Doors
❑Electric
❑ Plumbing
Sprinklers
R1 Generator
❑ Roof Roof pitch
Total
Sq. Ft of Construction:
S . Ft. of First Floor:
Cost of
Construction: $ 9495.00
Utilities:
Sewer
❑Septic
Building Height:
0W "ER/LESS^EE
CONTRACTOR
"
Name
Address:2690
City: Fiort
Zip Code:
Phone
E-Mail:
Fill in fee
from the
lArthur & Sally Orban
Name: Michael Flaxman
Conifer Dr
Company: Energized Electric
Pierce State: FL
34951 Fax:
No.772-464-6769
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
simple Title Holder on next page ( if different
Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: EC13006279
it vaiueloT construction is :>zsuu or more, a KECLIKUEo Notice of Commencement is required.
i
SU OLEMENTAL CONSTRUCTION LI""EN LAW INFO`R`IVIATION
DESIGNER/ENGINEER:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N a mi
e : Arthur & sally urban
N a m e: Michael Flaxman
Add ress:2690 Conifer Dr
Address: 2690 Conifer Dr
City: FortPierce State:
City:! Fort Pierce State:
Zip: Phone
I
Zip: Phone:
FEE SIMPLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
_
Name:
Name:
Address: 4262 Bandy Blvd
Address:
city:!
city:
Zip: Phone:
Zip:', Phone:
I
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. Luc a Countyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which it in contlict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structulre. 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 accoi 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
improlvements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. I you i tend to obtain financing, consult with lender or an attorney before
commencin work r re din ur Notice of Commencement.
I
Signature of 0 er/ essee ontractor as Agent for Owner Signature pl Con ra or/Li nse Holder
•
STATE OF FLORIDA ] STATE OF FLORIDA l
/s
COUNTY OF �l ,}r COUNTY OF �-1� 1 �'ne'
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this - day of Q(;- � 20� by this 3 day of O er 20I. by
v)(-, FJ Jn
Ir f CN tM U —MIC CA
Name of pers n making statement �,;�1r� �0' Name of pe son making statement
Pers nally Known � OR Produced Identifica on n— Personally Known OR Produced Identification
—
Type Identification Type Identification
of � o _6 r of
Pro d 0 3 o cn Produc
o
N T> Lp
E.3 �n—D c
.o
�3�aW <3
r w
(Signature Notary Public- State of Florida) N � o � (Signature of otary Public- State of Florida) c �
NX N d Cn Nm
N
Com ission No. (Seal) co Co - m Commission No. (Seal)
0 Coo•D C
n y
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEII
ED
DATE
COMPLETED
Rev. 8/ 1
/17