HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date:
SCANNED
BY
St. LudeCounty
Permit Number: _ 19 0- W / 0
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial
PERMIT TYPE:Generator
Address: 116 Queen Catherine CT Hutchinson Island, FL 34949
Property Tax ID #: 1414-702-0016-000-4
Site Plan Name:
Project Name: HOPPER
Residential X_
RECEIVED
AUG t 27 2019
Permitting Department
St. Lucie County
Lot No. F
Block No. 22
Supply and install 22kw generator with 200 amp service entrance rated automatic transfer switch and load sharing
modules
Additional work to be performed under this permit —check all that apply:
_Mechanical _Gas Tank _Gas Piping Shutters
_ Electric _ Plumbing _ Sprinklers 3 Generator
Total Sq. Ft of Construction: _
Cost of Construction: $ 10295.00
Sq. Ft. of First Floor:
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE r _ k "` s'�_`
CONTRACTOR _
NameTerry Hopper
Name: Michael Flaxman
Address:116 Queen Catherina CT
Company: Energized Electric
City: Hutchinson Island
Zip Code: 34949 Fax:
Phone No.305-984-2791
State: '1/
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 (ONSTRUCTIONIIENLAW INFORMATION-
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name:
Name:
Address:
Address:
City: State:
City: State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ 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 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con, 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 YO R PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFOR HE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER O A TT NEY BEFORE RECORDING YOUR NOTICE Or COMMENCEMENT."
Signature of Owner/ Les a /Contr ctor as Agent for Owner
Signature o Cg traces(/License Holder
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REVIEWS
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ZONINPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEEVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev. 217119