HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number:
- SCANN
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPE: Generator
I YKUNUJtUIIVIVKUVLIVILN.I.LUCAIIUN:C
Address: 9433 Poinciana Ct
Property Tax ID #: 1334-503-0040-000-5
Site Plan Name:
Project Name:
BY L;JLJ RECEIVED
St. Lucie County APR 0 9 1018
Building Permit Application Permitting Department
St. Lucie C@unty
Commercial Residential
DETAILED DESCRIPTION OF WORK:
Install 16KW generator with 200amp transfer switch with load sharing modules
Lot No.38
Block No.
GONSTRUCTrION INFORMATION:
Additional work to be performed under this permit— check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 8000.00
Utilities: _Sewer _Septic Building Height:
.OWNER%LESSEE: _
__-
CONTRACTOR
Name dames & Lynne Avrett
Name:Michael Flaxman
Address:9433 Poinciana Ct
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34951 Fax:
Phone No.772-464-8459
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
IT value of construction is 52500 or more, a RECORDED Notice of Commencement is required.
If value of HVAC is $7,S00 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW JNFORMATION:
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MORTGAGE COMPANY:
Not Applicable
Name:
Name:
Address:
Address:
City:
State:
City:
State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY:
Applicable
Name:
Name:
_Not
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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NnTI[F_nF rnMMFNrFMFNT_"
Signature of w er/ Le ee/Contractor as Agent for Owner
Signature of ntr ctor/Licu se Holder
STATE OF FLORIDA � 1
STATE OF FLORIDA
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Name of person making statement.
Name of person makin statement.
Personally Known OR Pr uced Identification
Personally Known OR Pr uced Identification
Type o entificati
Type
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(Signature of Notary Public- State of Florida)
(Signature of Notary ublic- State of Flori a
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
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