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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3�SI� Permit Number: 2dO3-0\ro0
RECEIVED
Building Permit Application MAR 0 5 2020
Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERM IT TYPE: Generator
PROPOSED IMP.R@V,EMENiT iOMION:
�aa.,...,.. 116 Queen Christina CT Hutchinson Island. FL 34949
Property Tax ID #: 1414-702-0008-000-5
Site Plan Name:
Project Name: Brandenburg Gen
Supply and install 22kw generator with (1) 200 amp transfer switch with load sharing modules
Additional work to be performed under this permit— check all that apply:
_Mechanical
Electric
_ Gas Tank
_ Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 10295.00
—Gas Piping
_Sprinklers
_ Shutters
Generator
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic
Lot No. H
Block No. 21
Windows/Doors
_ Roof Pitch
Building Height:
DOWNER LESSEE:
�+wwnaY..m
@ONTR/\tOR
Name Harold Brandenburg
Name: Michael Flaxman
Address:116 Queen Christina CT
Company: Energized Electric
City: Fort Pierce Stater
Zip Code: 34949 Fax:
Phone No.703-855-4604
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 LicenseEC13006279
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.
'PS�UPPLEIVIENTAL CONSTRUCTfON LIENVi/ INFbRMA
: ��
;I®N:
DESIGNER/ENGINEER: _ Not Applicable
Name:----------------- — ----- :---------
MORTGAGE COMPANY: _ Not Applicable
Name: ---------------------------- .-.....---
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
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 Countyy 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 FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORNJRY BEFORE RECORDING YOUR NOTICE F OMMENCEMENT."
Signature of Owner/ Lessee/Con a or as gent for Owner
Signature o co/tractor/Li nse Holder
STATE OF FLORIDA
STATE OF FLORIDA _
COUNTY OF SM) i lA
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COUNTY OF I A-(� .t.
The for ing in ment was a knowledge before me
The oing inst u nt was acknowledged before me
this laayo 20�by
this_ ay of I V 0C5'%y
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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
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(Signature of Not y ,. ,ILc, ,State®tft RWd&QNCAL
232946
(Signat a a a'ryl�p� MMI7
MY COMMISSIONRGG
m:, - EXPIRES: June 27.20
Commission No. �'• :• EXPIRE`�S@��27�2022
Commis 7;; oe, ndedthra Notary Public Unde tars
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. Z///1y