HomeMy WebLinkAboutBUILDING PEREMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED � I /
Date: — r Permit -Number: 1 qC , —6Ftp
SCBNYEG
Rece1VEo
Building Permit Application
Planning and Development Services Permitting oepan
ment
county
Building and Code Regulation Division St, Lucie
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 8412 Muirfield WAY Port St Lucie, FL 34986
Property Tax ID #: 3328-802-0035-000-2 Lot No.32
Site Plan Name: Block No.
Project Name: Wright
DETAILED DESCRIPTION OF WORK: I
Supply and install 22kw generator with 200 amp service entrance rated transfer switch and load sharing modules
CONSTRUCTION INFORMATION: I
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping _'Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 9996.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Richard Wright
Name: Michael Flaxman
Address:8412 Muirfield Way
Company:'Energized Electric
City: 8412 Muirfield Way State: _
Zip Code: 34986 Fax:
Phone No.518-209-2992
Address; ' 52 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No7724661095
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
n rmae or cvnsirucuon is >zeuu or more, a RECORDED 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
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address: .
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
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 Counttyy makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in co %ct with any applicable Home Owners Association bylaws'or
rules, 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 fallowing 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 ANATTORNEY BEFORE RECORDING YOUR NOTICE OF OMM EMENT."
Signature of w r/ 1-96sed'IC(oltractor as Agent for Owner Signature f C tractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OF S4, Lut,l'e. COUNTY OF;V, Lucie
The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me
this —I— day of 'Tu 11 20_4 by this I day of Tu l y 20 1A by
Micron .1 Actxlman MILIs422( r-CLil'I111101in
Name of person making statement. Name of person making statement.
Personally Known -)L- OR Produced Identification Personally Known OR Produced Identification
Type of Identification Type of Idehtificati n
Produced Produced
.hiiG.op.1 All-aiirlt�LL Ql�rulfl�.
(Signature of
NICHOLE APONTE (Signature of Notary Public -State 6f Florida )
;y NICHgdIPO NTE
Commission N MY COMMISSIONWO963031 Commission No. li
EXPIRES May 04, 2020 = Y COMMISSION # FF963031
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