HomeMy WebLinkAboutBUILDING PERMIT APPLICATION0.
All APPLICABLE INFOn MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �b L Permit Number:
RECEIVED
FEB 2 S 1018
Building Permit Application""Itt'ng Department
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
Residential
PERMITTYPE: Generator -9- ' SCANNED I
Address: 6055 Adonidia PI
Property Tax ID #: 3410-503-0344-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION OF WORK:.
Install 16kw generator with *69amp transfer switch with load sharing modules
CONSTRUCTION INFORIVIATION:
Additional work to be performed under this permit —check all that apply:
_Mechanical
'Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 3659.20
_ Gas Piping
_ Sprinklers
_ Shutters
"Penerator
Sq. Ft. of First Floor: —
Lot No.6
Block No. L
Windows/Doors
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Sharon M Van Orden
Name:Michael Flaxman
Address:6055 Adonidia PI
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-466-0422
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone N0772-466-1095
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.
SUPPIENIENTALGONSTRUCTIION LIENIAW INFORIVIATLON
m.._
DESIGNER/ENGINEER: _ Not Applicable
Name:
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDEWOR AIQ ATTDRNEY BEFORE RECORDING YOUR NOTICE DF COMMENCEMEIW'
Signature Own r/ l ssee/ ontractor as Agent for Owner
Signature of ?ntra for/License Holder
STATE OF FLORIDA
STATE OF FLORID
COUNTY OF ( 1 l"
COUNTY OF t� I T
The or oinginstlUment was acknowledg before me
day
The for oimng mst nt was acknowledge efore me
Lq
this of 20 by
this day o 20�by
Name of person making statement.
Name of person making statement.
Personally Known OR Prod a Identification
Personal) Known OR Produc Identification
Type o ti ' tion
red'
Type o d ntification
Prod
Prod ed
(Sign Ure,G;0 2AY - tsL CKSHEAR
(Sig Lary Public -State of Florida )
:state of Florida -Notary Pgqppli
Com 93 !, Commission u aG
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;y Commission #
July 12, 2022
'�%. oP GG 237887 6
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July 1
, 2 pires
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
RECEIVED
DATE
COMPLETED
Key. 2/7/ly