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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED )
Date: Permit Number:
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
RECUVED
Building Permit Application NOV .2 5 Ahis
permitting Depa►tment
St. Lucle County
Commercial Residential X
PERMIT TYPE: Generator
RatO,r -'•. Ec''ae.:s%i . a�£ '#®N
Address: 12451 Grumman WAY Port St Lucie, FL 34987
Property Tax ID #: 4224-501-0080-000-2 Lot No.80
Site Plan Name: KERR Block No.
Project Name:
Supply and install 22kw generator with 200 amp service entrance rated transfer swtich and load sharing modules
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
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 9495.00 Utilities: —Sewer —Septic Building Height:
Pitch
Name Natalie Kerr
Name: Michael Flaxman
Address:12451 Grumman WAY
Company: Energized. Electric
City. Port St Lucie State: —
Zip Code: 34987. Fax:.
Phone No.7727080093
Address:4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981. Fax: 7723186672
Phone N07724661095
E-Mail energizedgenerators@gmail.com
E-Mail:
Fill in fee simple Title Holder on next page ( if different
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.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
SaJPPLEMENTAL CONSTRUCTION LIEN LAIN INFORMATION
i , ,z
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 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 INTENP TO OBT FINANCING, CONSULT
WITH YOUR LENDER OR AN ATTORN B FO ECORDING YOUR NOTIC COM EMENT."
Signature of Owner/ Lessee/Contr to as Agen for Owner
'STATE
Signature of odntractor/ icense Holder
1
STATE OFF yt . `Wc&
COUNTY OF
OF ' I \
COUNTY OF �>�WCA::
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The f��r �o,ing instr ment was acknowledged before me
this 20_H by
The forgoing instrument wasackno ledg before me
day by
t r.'day of _
this of 2Q�
►c Ago u
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Name of person making statement.
Name of person making st tement.
3<1-
Personally Known OR Produced Identification
Personally Known OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
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(Signature of Nota
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+Fo" DANIELLE ONCALVES
(Signatu _#: • ..,y �Y g06
Commiss EXPIRES: June 27, 2
PublloUn rs
Commission No.
= MY COMMI� G 232946
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a; EXPIRES:�29N.2022
?e o?= Bonded Thru Notary Public Underwriters OF FL,.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
ev.