HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE_ INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
- ^^ ,, ;/mot h 1
Date: L.
Permit Number: - - l/ o�
RECEIVED
Building Permit Ap
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
FEB 0 4 2019
Lucie County, Permitting
Residential —CANNED
PERMITTYPE: Generator BY
St. Lucie Courill
PROPOSED INPROVEMENT LOCATIONsa
Address: 9406 Bunting Lane
Property Tax ID #: 1334-502-0063-000-9
Site Plan Name:
Project Name: Scott
m _
DETAILED DESCRIPTION OF WORK: _
Install 22KW generator with (2) 150 amp transfer switches with load sharing modules
Lot No:1.46 & 147
Block No.
CONSTRUCTIONINFORMATIONa
Additional work to be performed under this permit - check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_Electric _Plumbing _Sprinklers �enerator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 11395.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE: ' `
CONTRACTOR: "
Name Dan & Betty Scott
Name: Michael Flaxman
Address: 9406 Bunting Lane
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-201-1120
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No772-466-1095
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.
If value of HVAC is $7,500 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:
Address:
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 o orygcordin r Notice of Commencement.
Signature of PrifLesse Contractor as Agent for Owner
Signatu a of CcktiActor/LiVnse Holder
STATE OF FLORIDA
STATE OF FLORIDA 1
�='
COUNTY OF 1
COUNTY OF o Kn J .
The f r ing instrument was acknowled a efore me
this � day vir/ by
The f r oing instr pnt was ac nowled a efore me
LA., -
�^ �
of 20
I� �x 20can
this,_ day of 20Agby
)M (f'h� J -1��)c ,ram
Name of person making statement.
Name of person making statement.
W
Personally Known OR Produ ed Identification
Personally Known - OR Produced Id tification
Type of entificatio
Type of Identification
Prod ed
Produc
(Signatu
LYSAR
AS L
(Si - ' a e of Florida)
Comm
State of Florida-Notar Public
a, _ n GG $Ba�7
'"�pY��a�
"""' ALYSSA BLACKSHEAFif al)
Co of Fie N^tary
_
- 9State - L"
Publi
' My Commission Expires
y om�mis"on N GGGG 237687
'':;+,,,�e.'
'%°i1 Jul 12, 2022
um
My Commissio
u y 12,
2022
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEG
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.