HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: T Permit Number:
ale CRECEVEDI
0 7 2019
Building Permit Applicatio
Planning and Development Services un[y� P®rml[[lit
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 0
:IROPOSEUIMPROVEMENT LOCATION:
t.t.a.e«. 8036 Kiawah Trace SCANNED
Legal Description: Pod 25 At The Reserve
Property Tax ID f#: 3327-705-0020-000-3
Site Plan Name:
Project Name: Modell
Setbacks Front Back: Right Side: Left Side:
s
DETAILED DESCRIPTION OF WORK:
Install 22KW generator with (2)150 amp transfer switches with load sharing modules
0HVAC Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 10595.00
ispermit —c ecca appy:
Gas Piping Shutters
-rs 11 Generator
S Ft. of First Floor: _
Utilities:Sewer 1:1Septic
Lot No.19
Block No.
❑ Windows/Doors
11 Roof = Roof pitch
Building Height:
,'OWNER/LESSEE:
CONTRACTOR:
Name Steven 8 Betty Modell
Name: Michael Flaxman
Address:8036 Kiawah Trace
Company: Energized Electric
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.772-214-0213
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
I It value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEM,EN [AL.CONSTRUCTIC!N LIEN'LAW.INFO- RMATICIN:
Nam
+ City: I State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Ad d ress: 4252 aandy SW
City:
Zip: Phone:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:
Address:
Zip:
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
commencine work os cecordifte vour Notice of Commencement. /7
as Agent for Owner
STATE OF FLORIDA /� STATE OF FLORIDA
COUNTY OF �. ( 1 `I a P I COUNTY OF tl L I �( 1
The forgoing instrument was acknowledge before me
this day of u, r 20)g by
-ir h 11' I (A)( r'n
Name of pe�sop making statement
Personally Known OR Produced Identificatjgn
Type of Identification
State of Florida -Notary Pub
i v Commission N GG 2318ei
My Commission Expires
July 12, 2022
REVIEWS I FRONT I ZONING
COUNTER REVIEW
I COMPLETED
Rev.8/2/17
The forgoing instrument was cknowI d led before me
this day of by
-1 C iC12�1>-
Name of person making statement
Personally Known � OR Produced Identificatigsr�_
Type of Identification
N GG
My
SUPERVISREVIEWOR I REV EW NS I VEGETATIEVI WON I SEA REVIEW LE I MANGROVE REVIEW