HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �,1 1� Permit Number: 11`o ll"'d1dso
K. RECEIVED
Building Permit Application
JAN 07;019
Planning and Development Services ST. Lucie County, PermittlnR_
Building and Code Regulation Division ---
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Generator 62�kw �- ZOO✓�r"�iT�9 <� S� ' � I III
-PROPOSF'D".IM'PROVFM'FNT LOCATION
Address: 609 Winters Creek Rd
z Y9
Harbour Ridge -Plat 20-
Legal Description: SIle
t
Property Tax ID ft: 4422-810-0016-000-0
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
DETAILED DESCRIPTION OF WORK: r
Install 22KW generator with 200amp transfer switch with load sharing modules
[CONSTRUCTION INF,ORM'ATICIM'
n rfitinna wn—I r tin ho nnrfnrmar iviArr;Fw norm iTie nn t of n
Lot No.6
Block No.
HVAC ❑
Gas Tank
Gas Piping
❑ Shutters
❑
Windows/Doors
Electric
❑
Plumbing
❑Sprinklers
� Generator
❑
Roof
=
Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 9795.00r
S Ft. of First Floor: _
Utilities:
Sewer ❑Septic
Building Height:
"OWNER%LESSEE:;
CONTRACTOR y'
Name Michael & Jean Sakele
Name: Michael Flaxman
Address:609 NW Winters Creek Rd
Company: Energized Electric
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.772-343-9123
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: EC13006279
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPRI EMENTAL CONSTRUCTION LIEN LAW,INFORMATION ,
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
Address: 4252 Bandy Blvd
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.
Signat re or w r/ Les a/Contractor as Agent for Owner
Signature of Co ,racto /License Holder
STATE OF FLORID f
STATE OF FLORID
COUNTY OFF . L�� Ir I e-
(-
COUNTY OF� � 6p
The forgoing instrument was ac nowledBpdd before me
this day of n 20 by
The for$$,�oing Instrument was acknowledge before me
this of u� 2/0'r%% by
no
_day
Name of pers n making statement
Name of person making statement
Personally Known OR Produ Identifica 'on
Personally Known �_ OR Produced Identification
Type of Ide tification
Type o dentification
ProdAd
Prod e
(Signature of of
y N 1F CKSHEAR
( nature ota
Commissi No.
c Stata'of Flori a- otary Public
_ •` GommissidG
Commissi n No.
ALYSSA BLA
;Uty> KSHEAR
:_° $=8ta[e of Flor{btary
237887
Public
MY Commission Expires
y •= ommission # GC 237887
'O;Fp,t°�� My
July 12, 2022
Commission Expires
July 12. 20: 2
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev.8/2/17