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HomeMy WebLinkAboutBUILDING PERMIT APPLICATION, All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED I �/ �% (�. Date: T �l'�Permit Number: L L O / —()I ]J Planning and Development services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 SCANNED BY �BCEIVEO St. LucieCou* J114 d,9 BuildingPermit Application permitdn pp St. 9oe Luc.+e coin ment Y Commercial Residential X PERMIT TYPE: Generator VEM„,..�...,.s..�.W .^v TL+®CAT ,' PROP00$EDFINI„P;R©ENIONws1y „.;,.,;,rs Address: 3111 S 21st St, Fort Pierce, FL, 34982 Property Tax ID #: 2428-602-0033-000-8 Site Plan Name: Project Name: HAUKE Supply and install 16kw generator with 200 amp service entrance rated transfer Additional work to be performed under this permit— check all that apply: Mechanical _ Electric Gas Tank° —.Plumbing' Total Sq. Ft of Construction: 2 p, Cost of Construction: $ 1�s. 101 _ Gas Piping -_-Sprinklers —Shutters ' _ Generator Sq. Ft. of First Floor: Lot No.8 & 9 Block No. 2 Roof:. . . Pitch' Utilities: _Sewer _Septic Building Height: .a q.. +F ao..a w... a 's` }��'•'�.11# ox a &?tce pa'u +^ i. k& 'W'" t ,¢i�@.HWi 2 a 4 t 4?rt .;; NameJames Hauke Name: Michael Flaxman Address:4111 S 21stST Company: Energized Electric City: Fort Pierce ?State:'TL, Zip Code: 34981 Fax: Phone No.7724616777 Address:4252 Bandy Blvd:,. 1 City: Fort Pierce State:'FL Zip Code: 34981 Fax: 77231'866721 Phone N07724661095 " 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 Z.q0 3 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required. aL?GQN$TRUCT,!ION;L-IENi.LAW INI:,ORMATI.O,N: NEER: _ Not Applicable MORTGAGE COMPANY _ Not Applicable City: State: Zip: Phone FEE SIMPLE TITLE HOLDER: Name: Address: ME Name: Address: City: State: Zip: Phone: Not Applicable I BONDING COMPANY: _Not Applicable Address: 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." C Signature of O e / Lesse Contractor as Agent for Owner Signature of 'CofitractorfLicense Holder STATE OF FLORIDA STATE OF FLORIDA COUNTY OF 54 , lware COUNTY OF A-• Luete The forgoing instrument was acknowledged before me The forgoing instrument was acknowledged before me this day of '3., ► y 20 lg by this day of 20 _t by 1-kIGIn4g1 l %C4%aG1 Aq)C11A4%A Name of person making statement. Name of person making statement. Personally Known _/ _ OR Produced Identification Personally Known �L OR Produced Identification Type of Identification Type of Identification Produced A ,, , Produced (Signature of Notary Public -'State of Florida) (Signature of N e-RASP Commission "= NICHOLE NICHOLE APONTE ' APOWE Commission No �; MYCOMMIS3I0qB(F84630311 'c MY COMMISSION p FF98303f ,3 „ EXPIRES May 04, 2020 wcz REVIEWS asao•sa nod Noa s .w PERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev. SUPPLEMENTAL CONSTRUCTION LIEN 1AW INFORMATION: DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLEHOLDER: _ 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 Count yy 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 BE"RE THE FIRST INSPECTION. IF YOU INTEND TO OBTA%FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMM MENT." Signatu STATE OF PLORIDA COUNTY OF 5G.Vajca¢ as Agent for Owner The forgoing instrument was acknowledged before me this _J_ day of-JulY 2019 by Signature STATE OF FLORIDA COUNTY OF The forgoing instrument was acknowledged before me this A dayof fill 20 by 91C.6&d AILUAdkn MICInAef FltyM4gl1 Name of person making statement. Name of person making statement. Personally Known >>l OR Produced Identification Type of Identification Produced MY COMMISSION # FF9 III —ERP1RES-Wav 04, 20 T REVIEWS FRONT ZONING COUNTER REVIEW Personally Known )/I- OR Produced Identification Type of Identification �1A.lJ/itA7.QiL Q,�unti7�.. (Signature of Notary Public- State o Florida ) Com SUPERVISOR PLANS REVIEW REVIEW NICHOLE APgW MY COMMISSION # PF963031