HomeMy WebLinkAboutBuilding Permit Application ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 4/30/2015 Permit Number: 5 a6' OSa�
,.: :.
RECEI JUN 2.9 2015
•
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 Residential X
PERMIT APPLICATION FOR: Generator El
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�PReOPOSED IMPROVEMEN----,L TION: " h R
Address: 11124 Lands End Chase Port ST Lucie FL 34986
Legal Description: Reserve plantation-phase IIA Lot 9
Property Tax ID#: 3321-803-0015-000-8 Lot No.9
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DERAILED DESCRI"PTION OF,UVORK: t F
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y
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is 2-00 A--7)P
CTIOMIXFORIVIATION: $
Additional work to be nertormed under t ispermit—checl aln appy:
RElVectric
HE Gas Tank E]Gas Piping MGenerator
Shutters Windows/Doors 0 Plumbing Sprinklers Roof
Total Sq. Ft of Construction: Sq. Ft.of First Floor:
Cost of Construction:$ 8495.00 Utilities: Sewer[]Septic Building Height:
OWNERE SSEE.`" CONTRACTOR:
Name William Armaro Name: Michael Flaxman
Address:11124 Lands End Chase Company: Energized Electric
City: Port St Lucie State:Fl Address: 645 NW Enterprise Drive#107
Zip Code: 34986 Fax: City: Port ST Lucie State:FL
Phone No.772-242-1809 Zip Code: 34986 Fax: 7728074565
E-Mail: Phone No. 7728074566
Fill in fee simple Title Holder on next page(if different 'E-Mail: Antonella@energizedgenerators.com
from the Owner listed above) State or County License: EC13006279
If value of construction is$2500 or more,a RECORDED Notice of Commencement is required.
S°l1PPLENIENTALCO.NST
RUCTION IIENi Li4U1l
IN
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:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or rW6rding Vour Noti of Commencement.
s
_Signa re of ner/ essee/ ent Signature of C ntractorA4 ense Holder
STATE OF FLORID rr STATE OF FLORIDA
COUNTY OF COUNTY 0FSaincLucie
The'for oing instru nt w s acknowledged before me The forgoing instrument was acknowledged before me
this day of 20 Eby this 30 day of April 20 k'--) by
M1 ('6fij Michael Flaxman
(Name of p n acknowledging) (Name of per on acknowledging)
14'
ah[a
(S n ure 8f Notary P ic-State F 'rida) ( ure Notary Public-State Flori a)
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identificat' n Produced - Type of Identification Produced
Commission No. Commission No.
¢, Notary Public State of Florida
Antonia M Paula
r'nyommission 191201
eu1 X-d Expires 02/27/2019
Revised 07/15/2014 �•oF' ExpuesGul)1Go,9
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE
COMPLETE
INITIALS