HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3b Permit Number:
RECEIVED
® Building Permit Application NOV 3 0 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Perr
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator
PROPOSED IMPROVEMENT•LOCATION:,
Address: 17701 Wagonwheel Ln SCANNED
Legal Description: Carlton Country Estates BY
Lucie oun y
Property Tax ID #: 3211-701-0009-000-2
Site Plan Name:
Project Name: DiFran- Carlton Country Estates- Williams
Setbacks Front Back: Right Side:
DETAILED DESCRIPTION OF VVORK:
Left Side:
Install 22KW generator with 200amp transfer switch with load sharing modules
Lot No.7
Block No.
CONSTRUCTION INFORMATION:
ACclitionalworKtODenerTormedunder
tis permit — check
ail
apply:
OHVAC
Gas Tank
[]Gas
Piping
_ Shutters
❑
Windows/Doors
Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total Sq. Ft of Construction:
Ft
5 Ft. of First Floor:
Cost of Construction: $ 9295.00
Utilities.
0Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Kenneth &Josephine Williams
Name: Michael Flaxman
Address:17701 Wagonwheel Ln
Company: Energized Electric
City:, Fort Pierce State: FL
Zip Code: 34987 Fax:
Phone No.
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
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: EnergizedGenerators@gmail.com
State or County License: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFpRMATION
-._. :-,
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Name:
Address: <2s2 Bandy emd
Address:
City:
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. 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
commencing work or recording your Notice of Commencement.
Signature Ow r/ essee/C ntractor as Agent
for Owner
Signatur of C tra for/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF U6 e
COUNTY OF t LIl a ,
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
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this�dayof Noyernlotr 20Mby
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Name of p rs n making statement =
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Type of Id tification
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ignature of otary Public- State of Florida) c
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Commission No. (Seal)
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17
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