HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE IN O MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:��a1 d`d3
RECEIVED
Building Permit Application I JAN 0 7 2019
Planning and Development Services I ST. Lucle tw4unty, Pofmltting
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 SUANN
BY ID
PROPOSED IMPROVEMENT 'LO.CATION: ' uCie County
Address: 4570 S Ocean Dr
Legal Description:
Property Tax ID q: 2529-343-0003-010-2
Site Plan Name:
Project Name: Coastal Construction
Setbacks Front Back:
Right Side:
Left Side:
Install 22KW generator with (2) 200amp transfer switches with load sharing modules
INFORmATibN:
EIHVAC
Gas Tank
Electric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction:
$ 12500.00
jermitcl
Sas Piping
Shutters
Sprinklers L.JGenerator
Sq' �Ftj. of First Floor: _
Utilities: Sewer 0Septic
Lot No.
Block No.
❑ Windows/Doors
11 Roof = Roof pitch
Building Height:
OWNER/LESSEE:
CONTRACTOR:,°
Name Gwendolyn Landers
Name: Michael Flaxman
Address:4570 S Ocean Dr
Company: Energized Electric
City: Fort Pierce State: FL
Zip Code: 34949 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: EC13006279
it vaiue or construction is ;,esuu or more, a ntcunueu Notice of commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN'LAW fNfORMATION:
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
BONDINGCOMPANY:
Name:
_Not Applicable
Address: 4252 Bwdy Bl,d
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 attornbefore
commencing work or rerordina vDur Notice of Commencement. e
as Agent for Owner
STATE OF FLORIDA
COUNTY OF
The f r oing instrument was acknowled before me
this _ day of Al
by
►chap, ��,�,��
Name of person making statement
Personally Known �_ OR Produced Identification
Signature
STATE OF FLORIDA
COUNTY OF
The for oing instrument was acknowlecig before me
this V day of by
Name of perso making statement
Personally Known � OR Produced Identification
Type of Identij:A'gation
ALYSSA BLACKSHEAR
a,, �.,'„ L;]
KSHEAR
Commi -':State of Florida-Notary(glIlik Stotary Public (Seal)
e Commission # GG 237887 - CG 237887
M Commission Expires 'sn ec
Y P ,,E°f r�o Expires
Jul 72, 2022 "nm"022
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