HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONr 1"
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �`] 1 Permit Number: �°10�-olla
JAN 0 7 H*t. Lu ar
® Building Permit Applicati n e Cou
Planning and Development Services 3T. bucie Gaun Permitting nay
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
PROPOSED IMPROVEMENT LOCATION:.
Address: 7440 Bob O Link Way
Legal Description: Maidstone
Property Tax ID #: 3322-505-0044-000-8 Lot No.35
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTIONOF WORK.. =
Install 22KW generator with 200 amp transfer switch with load sharing modules
I' CONSTRUCTIONS INFORMATION:
0HVAC Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 9695.00
JCI IIII L -LI ICLR CII cpply.
Gas Piping Shutters ❑ Windows/Doors
Sprinklers Generator Roof = Roof pitch
S Ft. of First Floor: _
Utilities.. Sewer Septic
Building Height:
OWNER/LESSEE: , = F
CONTRACTOR: -
Name Anthony 8 Rebecca Strupeck
Name: Michael Flazman
Address:7440 Bob O Link Way
Company: Energized Electric
City: Port St Lucie State: FL
Zip Code: 34986 Fax:
Phone No.612-839-9880
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34986 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: ---Name:__
MORTGAGE COMPANY: _ Not Applicable
--
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: _Not Applicable
Name:
Address: 4252 Bandy BINd
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 Difftwdine vsur Notice of Commencement.
Signat re of wn ./ Lessee/ ntractor as Agent for Owner
Signat of C tr for/Lice se Holder
STATE OF FLORIDA
STATE OF FLORIDA 1
COUNTY OF
COUNTY OF �T
The forgoing instrument was acknowledged before me
t/
The f r oing instru �e�ntnw�a,s,,,a �kno d ed before me
u4
this day of eCf*tb 201$ by
this day of 20)n by
Mic.w.a I F1la\cmctf:�'
YYI; c�,c>�� 1— IGx ► ch �
Name of per on making statement
Name of pers making statement
Personally Known OR Produced Identificatio
Personall Cnown 4 OR Produced Identification
Typ I ntification
Type of a ti ation
Pro u
Produc d
( ignatur o Notary Public -State of Florida)
(SignafLW ot ry Public -State of FGH
commi No.
Commission .".11"o A BLA EAR
ALYSSA BLACKSHEAR
F:State of Floritle•Notary Public
Floritla-Notary Public
-� = Commisslon N GG 237887
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Jul 12, 2022
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Rev.8/2/17