HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED f,
Date: 06111/2019 suAA1n1�o(mit Number: 19 1(96 — 6 5K0
BY
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St. LUciecon"NVA
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Building Permit Application `P�
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 Residential
PERMIT TYPE: Generator
PROPOSED IMPROVEMENT -LOCATION:
Address: 5303 Palmetto Avenue Fort Pierce Florida 34982
Property Tax ID #: 3403-502-0104-000-6
Site Plan Name: Charles Pitt
Project Name: Charles Pitt
(.DETAILED DESCRIPTIONOF WORK: -
Remove existing 16kw generator
Lot No.14
Block No.
Supply and install 22kw generator with (1) 200 amp (1) 100 amp service entrance rated transfer switches with load sharing modules
CONSTRUCTION'INFORMATION: -
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 11,000.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Charles Pitt
Name: Mike Flaxman
Address:5303 Palmetto Avenue
Company: Energized Electric
City: Fort Pierce State: _
Zip Code: 34982 Fax:
Phone No.772-971-1958
Address:4252 Bandy Blvd
City: Fort Pierce State:Fl
Zip Code: 34981 Fax:
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 LicenseEC13006279
it value of construction Is y25UU 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.
SU,PPLEMENTALCONSTRUCTION LIEN -LAW INFORMATION:
uCJI U IV CIc/ CN U I IV tt rt: _ INOT Hppllcame MORTGAGE COMPANY: _ Not Applicable
Name: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone. -
FEE SIMPLE TITLE HOLDER: _ Not Applicable I BONDING COMPANY: _Not Applicable
Name:
Name:_
Address:
Address:
City:
City:_
Zip: Phone:
Zip:
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 contlict 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 d 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 BEFORA THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER ORAAJV A EY BEFORE RECORDING YOUR NOTICE COMMENC T."
Signature of Own / Les a /Contr ctor as Agent for Owner
Signature q Co actor/Lice se Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF I V[de—
COUNTY OF Nr� 1A)C 12
The for Oing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this day of�b4- •2011 by
this�dayof lb)IUC4 .2019 by
I dull fie,Y WA(1,V1
%dw 14 r1c, IL o m
Name of person making statement.
Name of person making statement.
Personally Known --Y—_ OR Produced Identification
Personally Known ,y— OR Produced Identification
Type of Identification
Type of Identification
Produced
a (
Produced
�� �
(Signature i
(Signature of
Notary Public- State of Flollicla )
;kil"•ri NICHOLE APONTE
Commission �, MISSION(BOOW I
Commission
o_;!� '= NWHOLE A �E
EXPIRES May 04, 20TD
ISSION FF 3031
••, a ,. EXPIRES Me 04, 20T0
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SWUNdirySurvimm
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
MA GROVE
SEA TURTLE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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