HomeMy WebLinkAboutBUILDING PERMIT APPLICATION)
OCT�'�� �[TI S�0
Building Permit Application ~' ' '
Plan�ing and Development Services PormItting Depa St. Lucie count
I St. Lucie Cc
Building and Code Regulation Division
230Virginia Avenue, Fort Pierce B34982
PERMIT APPLICATION FOR: Generator F9
I OVUM- County
Legal Description: Harbour Ridge -Plat 8- East Hammock Village Unit 8
Prope�
' yTox|D#: 4426'803-0018'000-4
Site Plan Name:
Projec I t Name: Davis
Setbacks Front8ack:_
Right Side: Left Side:
Installl 22KW generator with 200 amp transfer switch with load sharing modules
LotNo._________
Block No.
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ACIClitionalworKtobenertormed under this itcheck all apply:L~]�GasTank as Piping In Shutters VVindoxvs/Doors
�—� ||L�| ����
Electric El Plumbing []Sprinklers �~ |�enerator L~~~�Roof Roof pitch
Total 3q. FtofConstruction: S Ft of First
Cost nfConstruction: $8285.00 Utilities:| |SevverE]3eptic Building Height:
N a rn e I Carl & Gloria Davis
1 1516 NW Lancewood Ter
Address:
Name: Michael Flaxrnan
Company: Energized Electric
Cit : lijalm City State: FL
1 34990
Zip Code: Fax:
Phone, No.
Address: 4252 Bandy Blvd
Fort Pierce FL
City: State:
Zip Code: Fax:
Phone No. 772-466-1095
E-Mail:
Fill in fee simple Title Holder on next page if different
from the Owner listed above)
E-Mail: Energized Generators@gmall.com
State or County License: EC13006279
nvalue, mfconstruction m52s000rmore, aRECORDED Notice ofCommencement is required.
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. 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 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 the jobsite
before the first inspection. If you i gd to obtain financing, consult with lender or an at ney before
commencingwor or cordin o otice of Commencement.
I
Signature of n r/ Less /Contractor as Agent for Owner Signature of C n a/;'I
cense Holder
STATE OF FLORIDA STATE OF FLORI 1 i f
COUNTY OF t .1 COUNTY OF —j�
The orgoing instrumentwas acknowledged before me The f rgoing instrum nt was acknowledge before me
this day of 20 by is day of P 20Tm by
Name of perso making statement °qa 0° Name of person making statement
Personally Known OR Produced Identifi do rsonally Known �4 OR Produced Identification
Type of Identification a � pe of I ent' ication
Pro u d 90 odu d
03o
3 o a
m
(Signatu:Y.�
Notary Public- State of Florida) o �a ignature of N tary Public- State o Florida )
Nx Nm ALYS a
Commission o. (Seal) _e, w v mmission No. .`��'YP�''% SA(`I L. CKSHEAR
m m *_ tale of Florida
Cr Public
., aP,; Commission # GG'237887
-?oRr�°�"` MY Commis
uY12 2M
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIjVED
DATE
COMPLETED
Rev. 8/2/17
SUPPLEMENTA�L�CUNSTRUCTI,O,NaL'IENLA¢�W�INF.�OR�MgTICJ�N�����t�tlu�„r
�
DESIGNER/ENGINEER.
Name: Carl &Gloria Davis
Not Applicable
MORTGAGE COMPANY:
Name: Michael Raman
Not Applicable
Add reS$:1516 NW Lancewood Ter
Address: 1516 NW Lancewood Ter
City: Palm City
Zip: i Phone
State:
City: Fort Pierce
Zip: Phone:
State:
FEE ;SIMPLE TITLE HOLDER:
Name:
Address: a25z Band„ Blvd
Not Applicable
BONDING COMPANY:
Name:
Not Applicable
Address:
city
city:
Zip: ; Phone:
Zip: Phone: