HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
Permit Number: N 1 1=oc)(01'2�1)
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RECezvzD
Building Permit Application Nov 052018
Planning and
Development Services Permitting L)
St Lucie
Building and
2300 Virginia
Phone: (772)
Code Regulation Division C I"'. ont
Avenue, Fort Pierce FL 34982
462-1553 Fax: 462-1578 Commercial Residential
(772)
PERMIT APPLICATION
FOR: Generator i,
PROPOSE
I PROVEM =ENTOCATION Ai Mryn ;�
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Address: 13412
NW Wax Myrtle Trl
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Legal Description:
Harbour Ridge Plat No 1
g St Lucie County
Property Tax ID
#: 4436-601-0033-000-6 Lot No.33
Site Plan Name:
Block No.
Project Name
Boyle
Setbacks F lont
Back: Right Side: Left Side:
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DETAILED
.R dY -ww ' :Ik v 4 A' Y3" t 4
DESCRI'P LION OF W r RK� �� r,
Install 22KW
generator with (2) 200 amp transfer switches with load sharing modules
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CONSTR:UCTIC7N INFORMATI,ON�' h, ��
Additional wor to be nertormed under this permit - cec a apply:
�HVAC Gas Tank ❑Gas Piping _Shutters Windows/Doors
R1Electric El Plumbing ❑Sprinklers E Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 11195.00 Utilities:nSewer OSeptic Building Height:
DOWNER%/LSEE �,h ��
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Name Richard Denise Boyle
Name: Michael Flaxman
Address:13412 NW Wax Myrtle Trl
Company: Energized Electric
City: Palm Cityl State: FL
Address: 4252 Bandy Blvd
Zip Code: 34990 Fax:
City: Fort Pierce State: FL
Phone No.9171734-4769
Zip Code: 34981 Fax: 772-318-6672
E-Mail:
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
Fill in fee simple Title Holder on next page ( if different
from the Own er listed above)
State or County License: EC13006279
If value of cons
ruction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLE;MENTgALiC0E NSTRUCTION
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LIEN LAIN INFORMATIO�Ny
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DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY:
Name:
Address:
_ Not Applicable
Address: I
City:
Zip: Phone
I
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER: _
Name: i
Ad d ress: 4252, Bandy Blvd
City: I
Zip: Phone:
I
Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address:
City:
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. 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 on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencin 1work or recording our Notice of Commencement.
Signature of w er/ es a/Contractor as Agent for Owner
Signature of Co r &Aic Tfse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY O J ( ( � �
COUNTY OF L
The r oing instrum n was acknowledged before me
bf - e�
The f r oing instrument was cknowledg��before me
this day of 20_�rjj by
thi day � -i 20 by
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Name of er o makin statement
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Personally Known OR Produced Identifica
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Anna
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Name of person making statement
Personally Known �_ OR Produced Identi cation
Ty p f I entification
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Type of Ide tification
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(Signatur of Notary Public- State of Florida
c) ° 7 (Signature o Notary Public- State of Florida)
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Commission No. (Seal)
u ern Commission No. (Seal)
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N00
N 00
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17