HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
0 VISA
" Building Permit Application EEs "o my
Planning and Development Services 5� aeCo,
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMiTTYPE: Generator SCANNED
Address: 12901 NW Harbour Ridge Blvd
Property Tax ID #: 4426-815-0009-000-5
Site Plan Name:
Project Name:
Install 22KW generator with
6:
transfer switch with load sharing modules
Additional work to be performed under this permit— check all that apply:
Mechanical _ Gas Tank _ Gas Piping _ Shutters
Electric _ Plumbing _ Sprinklers _ Generator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 9395.00 Utilities: -Sewer —Septic
Lot No.
Block No.
_ Windows/Doors
Roof Pitch
Building Height:
-OWNER%LESSEE _;
CO.NTRACTf�R
Name Dennis & Gail Garda
Name:Michael Flaxman
Address:12901 NW Harbour Ridge Blvd
Company: Energized Electric
City: Palm City State: _
Zip Code: 34990 Fax:
Phone N0.772-359-9610
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 value or construction is 52500 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.
Name:
Address:
City: State:
Zip: Phone
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
----
Zip:
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
City: State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
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
commencing work orsecordina.vour Notice of Commencement. 1 i
of gwrLAr/ LessXe/Contractor as Agent for Owner Signature of
STATE OF FLORIDA ) STATE OF FL
COUNTY OF, ,k C, COUNTY OF
The f rgoing instrum nt was acknowledged before me
this jo day o 20)A by
'f'rl ►rhnl F1 a �
Name of person making statement.
Holder
The f% rg�oing ins rant was acknowled ed efore me
this T day o )19
M iC'hrm? ,I PV_Mrv)
Name of person making statement.
Personally Known I\a OR�roduced Identification Personally Known � OR
Type o.IdentificaVVn // Type of Identification A
State
Commission No. (Seal)
REVIEWS FRONT I ZONING
COUNTER REVIEW
Notary Public -State of
Commission No.
(Seal)
SUPERVISREVIEWOR I REV EW NS I VREVI WON SEATURTEV EWLE MREV EWVE
ALYSSA BLACKSHEAR
State of Florida -Notary Public
Commission s GG 237887
My Commission Expires
:ommission a GG
My Commission