HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONEPTED
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO B Permit Number: I vy°C f J 31
I'
Recerveo
o DEC ) 2 2018
Building Permit Application Permitting Department
Planning and Development Services St. Lucie County
Building and code Regulation Division
2300 Virginia Avenue, Fort Pierce Ft 34982 \r
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator E
PROPOSED IMPROVEMENT LOCATION:
Address: 2025 NW Laurel Oak Ln SCANNED
Legal Description: Harbour Ridge -Plat 6- Laurel Oak Village Unit 14 13Y
Property Tax ID #: 4425-605-0047-000-5
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
'iDETAILED DESCRIPTION'OF WORK:
w.
St. Lucie County
Lot No.
Block No.
I Install 22KW generator with 200 amp transfer switch with load sharing modules
I`;f'f1NICTRI.1('TIf1K11NIPnPKYATl(1NI•t'r
OHVAC
Gas Tank
EElectric
OPlumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 9495.00
-ma—cnecKau apply:
sPiping _Shutters
rinklers Generator
S Ft. of First Floor: _
Utilities:iSewer Septic
❑ Windows/Doors '
11 Roof ' = Roof pitch
Building Height:
=O.WNE,R%LESSEE:,,
CONTRACTOR::-. _.
Name Barbara Barreca
Name: Michael Flaxman
Address:2026 NW Laurel Oak Ln
Company: Energized Electric
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.772-336-8533
Address: 2025 NW Laurel Oak Ln
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: EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Ad d ress: 202' NW Laurel oak Ln
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 a tprney before
of
as
STATE OF FLORIDA
COUNTY OF C A[ 1 P -
The f dinstrument was c� kno before me
thi _L day of dV� , 20 20] y
Name of per' n making statement
Personally Known A OR Produced Identification
Type of Identification _ y
of Ijlotary Public -
(Seal)
STATE OF FLORIDAC j .C-
COUNTY OF ��S'j— ( 1 1 I e_
The �fpQr oing instrument was a knowle�ged before me
thisL-day of MCS V � (/. 20��by
M I Ckoup l Fl cok rn
Name of p n making statement
Personally Known OR Produced Identification
Type of Identification
of Notary Public- State
(Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/1 ; ;.,, ALYSSA BLACKSH
=0 „:6 ALYSSA BLAC KSHEAR `° t=State of Florida -Notary
he State of Florida -Notary Public 'n�®' Commission N GG 231
Commission q GG 237887„ait My Commission Exol
MANGROVE
REVIEW