HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED t Q
Date: 'mil ��L� Permit Number:
SCANNED
BY RECEIVED
• St. Lucie County
- - - -- - Building Permit Application APR 10 2010
Planning and Development Services permitting DaP60i'M91315
Building and Code Regulation Division St. Lud County_
2300 Virginia Avenue, Fort Pierce FL 34981
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Generator
YitUYUbtUIMt'KUVtMLNI LUCAf1UN
Address: 2007 NW Royal Fern Ct
Property Tax ID #: 4425-605-0029-000-3
Site Plan Name:
Project Name:
Install generator with 200amp transfer switch
Additional work to be performed under this permit — check all that apply:
Mechanical
_ Electric
_ Gas Tank _ Gas Piping _ Shutters
Plumbing
Total Sq. Ft of Construction: _
Cost of Construction: $ 10469.50
_Sprinklers Penerator
Sq. Ft. of First Floor: _
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE s -- ;-
CONTRACTOR - -
Name Jeffrey & Ruthie Steinberg
Name: Michael Flaxman
Address:2007 NW Royal Fern Ct
Company: Energized Electric
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.
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.
SUPPL-EMENTALCONSTRUCTION
LIEN'LAWANFORMATION: N -
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 Countyy 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 FIN NCING, CONSULT
WITH YOUR LEND R OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE, OF COMMENCEMENT. -
Signature of Oyner/essee/Cofitractor as Agent for Owner
Signature or on actor/License Holder
STATE OF FLORIDA ef7, 1 n
STATE OF FLORIDA ) Q
COUNTY OF t✓ J T . � J( P,
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The or oing instru t was acknowledg before me
this day of 20 by
The f rgoing instrum nt was acknowleciggd before me
this day c 20 K)by
Name of person making statement.
Name of person making statement.
O
Personally Known OR Pr d Identification
Personally Known C OR Produced Identification
Type of n aft ation
Type of Identification
Prod ed
Produ ed
i
(Signat o ary Public- tate of F
(Signature of Notary 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
RECEIVED
DATE
COMPLETED
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