HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ` /�J ` %� �j
Date: Permit Number: 1� V —1 ' 0y `' `�
RECEIVED - m livi
Building Permit Application APR 2 2 2b19t LuDC
Planning and Development Services PermittingDepartment
Building and Code Regulation Division St uc L tyle C h
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT TYPE: Generator
PROPOSED-IMPROVEMENTLOCATION:
Address: 127 Queen Christina Ct
Property Tax ID #: 1414-701-0082-000-4
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 _Sprinklersenerator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 9795.00
Lot No.L
Block No. 9
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE'.
CONTRACTOR:
Name Susanne & Dennis Patterson
Name: Michael Flaxman
Address:127 Queen Christina Ct
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone N0.571-278-7765
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
It Value oT Construction Is >Lwu or more, a Ktt;UKUtU Notice or commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION;
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 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 antl 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 1 YOUR PAYING
TWICE FOR IMPROVEMENTS TO V
PROPERTY. A NOTICE OF COMMENCEMENT MUST ECORDED AND
POSTED ON THE J B SIT BEFOE FIRST INSPECTION. IF YOU 1 EN TO OBTAIN ANCING, CONSULT
WITH YOUR LEND O N ATT BEFORERECORDING YOU N C F COMME ENT."
Signature of Owner Les ee/Contra ctor as Agent for Owner
Signature tractor/ cense Holder
STATE OF FLORIDA fn�C))
STATE OF FLORID
COUNTY OF l _( �( ,1
COUNTY OF
The for Ding instr ride was cknowledg efore me
this day of 20 by
The f r Ding inst e s cknowledg efore me
this dayot 11 20/�'�M�by/�'�/��
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ame of person making statement.
Name of person making statement.
Personally Known OR r duced Identification
Personally Known O Produced Identification
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Type of en ' Icat
Type of Identificati
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Produc dublic-State
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(Signature of Notary Public -State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
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