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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 11.22.19 Permit Number: ��11a'0`�Ila
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
PERMIT TYPE: Generator permit
PROPOSED IMPROVEMENT LOCATION:
Address: 3603 Avenue M
Property Tax ID #: 2405*701-0006-000-3
Site Plan Name:
Project Name: Dampier generator
DETAILED�DESCRIPTION OF WORK:
Install 16kw LP gas powered back up generator with 150 amp automatic service rated transfer switch
CONSTRUCTION INFORMATION:
Additional work to be performed under this permit - check all that apply:
Lot No.
Block No.
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors '
X Electric _ Plumbing _ Sprinklers x Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $
5,200.00
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Frances Dampier
Name: Mark D cross -
Address:3603 Ave M
Company: Marcope, LLC
City: Fort Pierce State: Ft.
Zip Code: 34947 Fax:
Phone No - c�
Address:5818 Lyda Ln
City: Orlando State: FL
Zip Code: 34744 Fax:
Phone No 407.832. 5239
E-Mail: Q-e r Q Q-Lj
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail permitting@marcope.com
State or County License EC13001174
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLEHOLDER:
Name:
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 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 ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Own / Lessee tractor as Agent for Owner SignatAfebf Contractor/License Holder
STATE OF FLO I A I I STATE OF FLORIDA Orange
COUNTY OF . I .c C1� COUNTY OF
The foSgoing instrument was acknowledged before me The fo2rgoing instrument was acknowledged before me
this day of_ �c P "n 20� by this _2 day of Nov 20 19by
CC Mark D Cross
Name of person making stat ment. Name of person making statement.
Personally Known OR Produced Identification Personally Known x OR Produced Identification
Type of Identification r Type of Identification
of Notary Public-6tate of Florida ) Y (Ignp'ture of Notary
No. (Seal)
+M� JESSICAW.EVANS
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