HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONPlanning and Development Services
Building and Code -Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMITTYPE: Generator
PROPOSLD IMPROVEMENT LOCATION
,acre«. 118 Queen Christina Ct u'
Property Tax ID #: 1414-702-0009-000-2
Site Plan Name:
Project Name:
All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r
Date: Permit Nsrr,>
be
•—:- 1, BY
St. Lucie County RECEIVED
Building Permit Application
Permitting
St. Loci
Residential
DETAILLb DESCRIPTION OF WORK: - l
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 \03enerator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 9395.00
APR 2 2.Pn19
Lot No.I
Block No. 21.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
'OWNER/LESSEE:: _--
:CONT,RA-TOR:
Name David Hill
Name: Michael Flaxman
Address:118 Queen Christina Ct
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34949 Fax:
Phone N0.813-422-1420
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION':.
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
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 ��HE FIRST INSPECTION. IF YOU INTEND TO� OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
0, A 0 14 /-- ,
"Ale-
L`�Ar
Signature of Own r/ L� ee/Con actor as Agent for Owner
Signature of of actor/Lic se Holder
STATE OF FLORIDA
STATE OF FLORIDA 1 p
COUNTY OF }-�_ ����]P,
COUNTY OF
Thef r oinginstpr m,e-n,t� ,w.a acknowI dg d efore me
this day 1 20��by
The or oinginstr n wasa knowled efore me
this,gdayofl ,20by
��,V'�P�'�.1C ✓�
I �i�P�� Ct
Name of person making statement,
Name of person making statement.
ISO
Personally Known OR Pr odu Identification
Personally Known OR Prodl, ced Identification
Type o
Type of Id tifi do
aa-
Prod ed
Produc
(Sig iatulic- State of Florida)
(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
LCOMPLET
ALYS
A BLACKSH
AR
""' ALYSS
BLACKSHEA
rcev, y i71y =�Commission M GG 237867 y1
My Commission Expires
July 12 2022
e Commission N GG 237887
My Commission Expires
'' °���.'•` July 12, 2022