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a�MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: �� 1 �� \ Permit Number:
RECEI EVEV
Building Permit Application 2
Planning and Development Services
Building and Code Regulation Division LNOV
cfe County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT TYPE: Generator
PROPOSED IMPROVEMENT LOCATION.
Address: 2325 Jernigan RD, Fort Pierce, FL, 34945
Property Tax ID #: 2321-501-0029-000-9 Lot No.
Site Plan Name: Block No.
Project Name: Durrence
DETAILED DESCRIPTION ®rF WORK
Supply and install (1) 30kw Diesel generator with (2) 200 amp servicne entrance rated automatic transfer switches and
load sharing modules
CONSTRUCTION INFORMATION
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Additional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof ' Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 31293.00
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
OWNER/LESSEE
CONTRACTOR x W
Name Layton A Durrence Jr
Name: Michael Flaxman
Company: Energized Electric
Address:2325 Jernigan RD
City: Fort Pierce State: _
Zip Code: 34945 Fax:
Phone N o. 954-494-8841
E-Mail:
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No7724661095
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.
SUP'P:LEM:E�NT'AL�',CGNSTR'UrCTI.ON UtINLAWINFORMATIoN:
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:
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 apermit 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 FINA"G, CONSULT
WITH YOUR LPNIDEV OR AN AyfORNEY BEFORE RECORDING YOUR NOTICE QF CgMMENCEMEW.'
Signature o Ow/4/ Lessee ,&—ontractor as Agent for Owner
Signature ofantra for/License Holder
STATE OF FLOI A ,
STATE OF FLOKA
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COUNTY OF LA=� clk_�_
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The for oing instr t k owledged before me
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The f oin instrument was acknowledge Lbefore me
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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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DANIELLE GON6kiES'
W COMMISSION# GGR?*
:June 27,2022
Bonded Thni Notary Public Underwriters
—fi. .. DANIELLE GONCALVES
m"My COMMISSION# GG 23294�SE
EXPIRES: Juno 27, 2022
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VEGETATION
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