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ALL APPLICA LEI FO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit -Number:
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: GMAipn (�f_ne_raA)(- El
. ,
Address: 1515 Sawgrass Way
Legal Description: Harbour Ridge- Plat 13- Buttonbush Village unit 51 (or 2992-2730)
Property Tax ID #: 442681500580003
Site Plan Name: Mueller
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.
Block No.
Install (1) 22,000 watt whole house generator with 200 amp service entrance rated transfer switch and
load sharing modules
Total Sq. Ft of Construction:
Cost of Construction: $ 10,695.00
❑Sprinklers R] Generator
S Ft. of First Floor: _
UtilitiesInSewer Septic
Building Height:
OWN"EAR%SSEE:
CORM-R�ACI'O.R: g
Name �S���lli'� LLC,
Name: Michael Flaxman
Address:1515 Sawgrass Way
Company: Energized Electrci
City: Palm City State: FL
Address: 4252 Bandy Blvd
Zip Code: 34990 Fax:
City: Fort Pierce State, FL
Phone No. 772-878-9079
Zip Code: 34981 Fax: 772-318-6672
E-Mail:
Phone No. 772-877-3440
Fill in fee simple Title Holder on next page ( if different
E-Mail: Antonella@energizedgenerators.com
State or County License: Ec13006279
from the Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPI_EIVIENTAL" CO°NSTRUCTION
LIEN LA %1/ INFORMATION:;
-
",
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 I rider or an attorney before
commencine wodeor recordin�ur Notice of Commencement. 47
Signature
ctor as Agent for Owner
ractorlLicense Holder
STATE OF FLORIDA 0�I 1 STATE OF FLORIDA �� �n� I ,�
COUNTY OF nit` I.t,L�I`� COUNTY OF C 1 [_ iZ
The f rgoing instrument was acknowledged efore me
this day of 20 ALby
person acknowledging)
(Signature of Notary Public- SVate of Florida )
Personally Known OR Produced Identification
Type of Identifica ion Produced
Commission No.
Revised 07/1
� Notary Public State of Florida
RokA Antonia M Paula -
Expires 02/272019
The forgoing instrument was acknowledged before me
this -L day of 20 _q_ by
(Name of person acknowledging)
` &I
v�
(Signature of NotaryPublic- State of Ff,4—a
Personally Known OR Produced Identification
Type of Identification Produce
w to Public State of Florida
Commission No. �`ila M Paula
y� e My Commission FF 191201
$�ao� Expires02127/2019
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