HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3 S 1 Permit Number: 03-Oa9
Building Permit
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
MAR 0 5 9019
ST. Lucie
Residential
PERMIT TYPE: SUANNIW
Generator
BY
PROPQSED INIPROUEMENfLOCATION r S1 ]L11C18C0UYlfyi
Address: 8833 First Tee Rd
Property Tax ID #: 3334-500-0050-000-5
Site Plan Name:
Project Name:
Install 22KW generator with 200amp 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 (16,enerator
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 10595.00 Utilities: _Sewer _Septic
Lot No.39
Block No.
Windows/Doors
_ Roof Pitch
Building Height:
OWNER/LESSEE
Name Susan Mullen
Name: Michael Flaxman
Address: 8833 First Tee Rd
Company: Energized Electric
City: Port St Lucie State: _
Zip Code: 34986 Fax:
Phone No.917-841-7329
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone N0772466-1095
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: e
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone _
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 JOB SITE BEFORE T E FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR.N ATTORNIft BEFORE RECORDING YOUR NOTICIFOF COMMENCEMENT."
as Agent for Owner I Signature
STATE OF FLORIDA ] n i STATE OF FLORIDA I , �� I p
COUNTY.OF �( / COUNTY OF L.l � C
The figgoing ins ent was acknowledged before me The f oing in ent was acknowledg before me
this 20 by thisday 20��by
Name of person making statement. Name of person making statement.
Type
Known VZ OR P,rpduced Identification I Personally Known _� OR Pro�yced Identification
.ntjficatii , Type of IAntificatigq /
(Signature of Notary Public- State of Florida ) (Signatu?e"bfNotary Public- State of Florida )
Commission No. (Seal) Commission No. (Seal)
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE Commis4ion a GG
State
My Commission Expires