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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: a, Permit Number:
RECEI`''-7D AUG 0 2 2017
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
PAR®P®SE® IMPR®UEMENT LOCAl'I®N:
Address: 3411 S Indian River Drive Fort poerce FI 34982
Legal Description: Einsel's S/D That part of S 82.75 feet of lot 4 LYG E of RR and N 40 feet of 107.75ft of lot 4
Property Tax ID #. 2426-502-007-000-4 Lot No.4
Site Plan Name: Block No.
Project Name:
Setbacks. Front Back:
Right Side: Left Side:
Install 25KW standby generator with (1) 200amp service entrance rated transfer switch and load
sharing modules
HVAC
EElectric
0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 15,200.00
Sprinklers
IJ Shutters
gGenerator
S Ft. of First Floor: _
Utilities: Sewer Septic
Windows/Doors
Roof
Building Height:
Roof pitch
OWNER%LESLS�EE:
a 9. n 'R
CONTRACTOR: �'
NamePaul Wolters
Name: Michael Flaxman
Address:3411 S Indian River Drive
Company: Energized Electric LLC
Address: 4252 Bandy Blvd
City: Fort Pierce State: _
Zip Code: 34982 Fax:
City: Fort Pierce State: FL
Phone No.8309981957
Zip Code: 34981 Fax: 7723186672
E-Mail:
Phone No. 7728773440
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.
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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 recording vour Notice of Commencement.
Signs ure f wne Lessee/Contractor as Agent for Owner
STATE OF FLORIDA
COUNTY Ol's—u-
The forgoing instr ment was acknowledged before me
this (,O_ day of 20 11by
Michael Flaxman 1
(Nam f person acknowledging )
'v'
4ik_
(Signature of Notary Public- Sta of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
cense
STATE OF FLORIDA
COUNTY OFs-11-1a
The forgoing instrument was acknowledged efore me
this s day of 20 by
Michael Flaxman
(Name of erson acknowledging)
�v` 1 �Lh_L
(Signature of Notary Public- State of F orida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. Notary Publicst LpA6lorida Commission No.
av n onla M Paula
My Commission FF 1912(
Revised 07/
Notary PubIggr2tall of Florida
Antonia M Paula
My Commission FF 191201
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
COMPLETE
INITIALS