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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED c� Date: \G� \O` \,:'\' SCAN Permit Number` "Cu BY St. LLIcic ''Ounty - -- -- Building Permit Appl Planning and Development Services Building and Code Regulation Division _2300ViryiniaAvenue,.Fort.PierceFL34981 - - `Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial ca ion OCT 10 9019 ST. Lucie County, p n Residential PERMITTYPE:Generator I Address: Z% 0 6 G Property Tax ID #: Site Plan Name: Project Name: _ Lot No.I(L�—o_ Block No. �1'00A)0r1 ser-o%c.e e-^ArgrnC.2 r4';i-e� CONSTft CU TiION INF©RMATI®IV ` � � ' Additional work to be performed under this permit —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors x Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: c f Sq. Ft. of First Floor: Cost of Construction: $ Utilities: —Sewer _Septic Building Height: OWNER -/LESSEE- ° (CONTRA`CTOR - Name e-b re rl != ( Name: Mike FLaxman Address: 9666 Aimpl k A id t QeD Company: Energized Electric City: fete+ 5 d- L u c,: a State: JO'G Zip Code: Kq$ G Fax: Phone No. Address:4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 7723186672 Phone No 772-466-1095 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 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. ,IL SUPPLEMENTALCONSTRUCTION'LIEN IAW INFORMATION _,•_ DESIGNER/ENGINEER: _ Name: Not Applicable MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: Zip: Phone State: City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ Name: Not Applicable 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 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 revie)1v: 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." Signature of Owner Less a/Con actor as Agent for Owner Signature of ont ctor/Lic nse Holder STATE OF FLO STATE O FLORIDA COUNTY OF COUNTY OF S-t JA. Cam` The going g^oing instrum nt was acknowlecled before me The forgoing instrument was acknowledged before me this ntr t day of-�, 20 by k 1 al a d r(axmn y) this 1 day ofC)6 20_kCt by K (X1 EA 'R (AYMCA A Name of person making statement. Name of person making statement. Personally Known �C OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced n (Signatu u I(ppjlEltWflB ) ( ) +t"'• DANIELLEGONCAWES 145 COMMISSION#GG232946 %�fl ih'••. IMYCONMtS�ulOPi " W C OW ( all Commiss : 27,20$beal) 9•S pP,. —9XNRES`JW '2M22 ;: '•f%ofi:;°.•' Booted ilou Notary PuD"�c UnhrtMten Fc• 9dd9d7WN�YRNctf REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.