HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: rr�� �D' tci Permit Number: � '1 Qangg-
-r:� SCANNED
BY
. St. Lucie Coup� RFcFrvFo
- - -- Building Permit Apo icat)on/qY
Planning
Band Development Services aerm and Code Regulation Division ttno 6 ?019
2300 VirgAvenue, Fort Pierce FL 34982 3t LueOCa�n m t
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: Generator
'P.ROPOSED IMPROVEMENTLOCATIONc
Address: 221 Emerald Ave
Property Tax ID #:2309-801-0006-000-5
Site Plan Name:
Project Name:
DETAILED DESCRIPTION, OF.WORK:: .F _
Install 16KW 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 -L/Lnerator
Total Sq. Ft of Construction: Sq. Ft. of First Floor: _
Cost of Construction: $ 7000.00
Lot No.6
Block No.
Windows/Doors
_ Roof Pitch
Utilities: _Sewer _Septic Building Height:
QW N ER/LESSEE;
CONTRACTOR:
Name Robert Binkowski
Name: Michael Flaxman
Address: 221- Emerald Ave
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone No.772-224-9340
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 of construction is $Z50D 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: _ 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 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 NOTICE OF COMMENCEMENT."
Signature otlbner//Lessee/Contractor as Agent for Owner
Signature f Contractor/License Holder
STATE OF FLORIDA 1
STATE OF FLORIDA � I
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COUNTY OF 'j , �
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COUNTY OF I l �
The f rgoing instr�r���(((mnt was acknowledg efore me
thisdayof20by
The fo going instr a t jas acknowled a efore me
thisdayof 20by
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Name of person making statement.
Name of person maaki/nf/ statement.
Personally Known Produced Identification
Personally Known W - - OR Produced Identification
Type ckm en 'fic on
Type ofd nti 'cati (1
Prod ced
(E6 ; 1_�k
Produc
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(Signature of Notary Public -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
COMPLET.
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.Pek=State of
bride -Notary Fublic
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BLACKSHE
Kev. [ lye Pam, _ ,_- -• • "a -notary Publi
7 o„io", My Commission Expires Y 8 Commission N GG 237887
July 12 2022 j .•;;w,;o��,.� My Commission Expires