HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I 0
SCANNED
c ` " - BY MJ
St. Luciecounty
Building Permit ApplicatiPlanning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 4671S53 Fax: (772) 462-1578 Commercial _ _ Residential X
PERMIT TYPE: Generator
PROPOSED IMPROVEMENT LOCATION
Address: 749 SE Hidden River DR Port St Lucie, FL 34983
Property Tax ID #: 3427-701-0019-000-8
Site Plan Name:
Project Name: Hoffman
Install customer supplied 16kw generator and 16 circuit automatic transfer switch
CONSTRUCTION INFORMATION
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 1,500.00
_ Generator
Sq. Ft. of First Floor:
Lot No.18
Block No. 1
—Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER%LESSEE ',
�QNTRACTOR �j
NameLOUISE HOFFMAN
Name: Michael Flaxman
Address:749 SE Hidden River DR
Company: Energized Electric
City: Port ST Lucie Stated.
Zip Code: 34983 Fax:
Phone No.
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
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
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:
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 Y PROPERTY. A NOTICE OF COMMENCEMENT MUST BE gCORDED AND
POSTED ON THE JOB SITE BEFO THE FIRST INSPECTION. IF YOU INTEN_9 TO STAIN FIN NG, CONSULT
WITH YOUR 1,FND0 09(AN A RNEY BEFORE RECORDING YOUR NOTIC F MENCEM "
Signature of Ow� r/ essee/ ontractor as Agent for Owner
Signat re of C t ctor/Lice e Holder
STATE OF FLOR D
STATE OF LOgJDA
COUNTY OF l/i )(��
COUNTY OF
The for oing ins ument was acknowledged before me
this day of�J 20 by
The f rgoing inst ment wasacknowledged before me
thisay of fU� 20 qby
� iran��a I�XYY1 ��.�
iu� 1--trxclM�a�
Name of person making s ement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known `!!K� OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not y tip_ Stat rl r4 11
a COMMIS51 RGG232946
(Signature of Notar ,� ^'•.
• t ••• 0 'VES
EXPIRES Stun 7, 2022
Commission No. . `°`._��
dThru No is Underwdters
;e hiY COMM15,�6t�(�GG 232946
Commission No. ,� e '¢
EXPIRES.
.., Few,.•
une 7.G
•'�>;;«; °c Ho.^.dn,1
-
ThN Naraiy Public Underwriters
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2///19