HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 191 I"O �'La
SCANNED
BY RECEIVED
St. LucieGo5u;rvf,
Building Permit Applicati n NOV p 1 7019
Planning and Development Services Si, inch County, Permittin
Building and Code Regulation Division g
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Generator
PROPOSED IMPROVEMENT LOCATION -
Address: 33 Majestic WAY Hutchinson Island, FL 34949
Property Tax ID #: 1414-701-0114-000-8
Site Plan Name:
Project Name: Rosendahl
Lot No.A
Block No. 13
and install 22kw generator with 200 amp service entrance rated transfer switch and load sharing modules
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CONSTRUCTIONJNFORMQTION e -
Additional work to be performed under this permit -check all that apply:
_Mechanical _Gas Tank _Gas Piping //Shutters —Windows/Doors
Electric _ Plumbing _ Sprinklers a Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9495.00 Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE',
CONTRACTOR
NameLinda Rosendahl
Name: Michael Flaxman
Address:33 Majestic WAY
Company: Energized Electric
City: Hutchinson Island Stater
Zip Code: 34949 Fax:
Phone N0.772-359-8328
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No7723186672
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.
"I'
Name:_
Address:
City:
Zip:
J LitIN LAVV IINrUKIVIAI lUN,;
t Applicable MORTGAGE COMPANY. _Not Applicable
Name:
Address:
State: City: State:
Zip: Phone:
FEE SIMPLE TITLEHOLDER: _ Not Applicable BONDING COMPANY: _Not Applicable
Name: I Name:
Address: I Address:
City: I City:_
Zip: Phone: I 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 FIR
T INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEM€NT "
Signature of Owner/ Lessee/C0tr ctor as gent for Owner
Signature Co ractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Luaie
COUNTY OF- Lucie
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this -Aa day of e3C, o 6a.r 20A by
this_, day of OC40 heX- 20 j J by
Atckcl f-tgMQn
AWAgel Flaxmun
Name of person making statement.
Name of person making statement.
Personally Known _)_ OR Produced Identification
Personally Known _— OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida I
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(Signature of
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to
Commission �• '•- NICNOLE R:�?!TE
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Commission
q;�= MY COMMISSION(I�F!�3031
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MY COMMISSION q FF983031
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VISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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