HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: —
SCANNED Permit Number: 3
BY RECEIVED
St. Lucie County
Q
MAY 0 12019
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Building Permit Application permittm4Departme
Planning and Development Services
St. LUCI@ townty
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
Commercial Residential
PERM! TYPE: Generator
45130,0OSED fMPROUEIVtENT LOCATION
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Address: 8505 Immokolee Rd
Property Tax ID #: 1335-230-0001-000-6
Lot No.
Site Plan Name:
Block No.
Project Name:
DET -1 pESCRIPTION`OF WORK:
Install 22KW generator with 200amp non service transfer switch with load sharing modules
tC0(�t-STRUCTION ffUFORMgTI�JIU - t -
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: $ 8795.00
Utilities: _ Sewer _ Septic Building Height:
OWNER%LESSEE `
—
CONTRAGT01�
_
Name Thomas Osteen
Name: Michael Flaxman
Address: 8505 Immokolee Rd
Company: Energized Electric
City: Fort Pierce
State: _ Address: 4252 Bandy Blvd
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No.772-201-1512
Zip Code: 34981 Fax: 772-318-6672
E-Mail:
Phone N0772-466-1095
Fill in fee simple Title Holder on next page ( if different E-Mail EnergizedGenerators@gmail.com
from the Owner listed above)
State or County License E 136662799
'2
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:
:s a-
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 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 SJTE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER JDAN AFfORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCIMENT."
Signature 6f Ow er/ Lessee/ ontractor as Agent for Owner
Signature of on ractor/Lie nse Holder
STATE OF FLORIDA � I 1A
STATE OF FLORIDA /l )
COUNTY OF 's j - l _� X a e .
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COUNTY OF (_r , 1(`�
The fo going instt n was acknowledge efore me
this Abby
The fo oing instrt nt as acknowlecig efore me
this Tdayof 20Vby
Pamel ►�.t�
of person making statement.
Name of person making statement.
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Personally Known X.! OR Pro uced Identification
Personally Known OR Produced Identification
Type of ntificatio
Type of Identificatio
Pro du ed
Produc d
(Signature of Notary Public -State of Florida)
(Signature of Notary Public -State of Florida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
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ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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My Commission Expires
July 12, 2022
My Commission Expires 1
July 12, 2022 6