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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
1°�0
,'Date: � • � � � Permit Number:
-
! RECEIVED
Building Permit Application JIJN 5 2019
Planning and DevelopmentServices L ST.'Lucie County, Perm
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
j Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x
PERMIT TYPE: Generator
PROPOSED IMPROVEMENT LOCATION:
Address: 7006 Sebastian Rd, Lakewood Park, FL, 34951
roperty Tax ID #: 1301-613-0307-000-1
ite Plan Name: Rolle
roject Name:
DETAILED DESCRIPTION OF WORK:
upply and install 16kw generator with 150 amp automatic transfer switch with load sharing modules
CONSTRUCTION INFORMATION:
Lot No.8
Block No. 150
lAdditional work to be performed under this permit —check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters _ Windows/Doors
i
Electric _ Plumbing _ Sprinklers _ Generator _ Roof
j Total Sq. Ft of Construction:
j Cost of Construction: $ 4,700.60
Sq. Ft. of First Floor:
Utilities: —Sewer —Septic Building Height:
Pitch
OWNER/LESSEE:
'CONTRACTOR:
NameTillman Rolle
Name: Michael Flaxman
Address:7006 Sebastian Rd
Company:Energized Electric
Address:4252 Bandy Blvd
City: Fort Pierce State: _
Zip Code: 34951 Fax:
City: Fort Pierce State: FL
Phone No.772-577-4104
Zip Code: 34981 Fax: 7723186672
E-Mail:
Phone No7724661095
Fill in fee simple Title Holder on next page (if different
E-Mail energizedgenerators@gmail.com
State or County LicenseEC13006279
from the Owner listed above)
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.
N
SUPPLEMENTAL CONSTRUCTIONLIEN LAW INFORMATION:
;DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
lAddress:
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
TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY RESULT IN YOUR PAYING
7ARNING
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 LEN015R OJR All A RINEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT."
Signature of Own -/ L ssee/Co ractor as Agent for Owner
Signature o Cont ct /License older
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 5� • W u 2
COUNTY OF Lu t,i -e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this a� day of 'TUelt, , 20 19 by
this -9-4— day of _writ. , 20jI by
A i Mgte/ Flow 4a
MieAgttl FAxwo
Name of person making statement.
Name of person making statement.
Personally Known >(,_ OR Produced Identification
Personally Known _)L OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
-AU.G,lI.t?& (.
(Signature of Notary Publi
�vd®�� A�®NTHlignature
of Notary Pu ®LEWP®(�TE
d�CommissionNo.M`(��1MISSlON
# FF963
mmission No. gtv3o ?: ^= MY C I1�7S�ON # FF963031
EXPIRES May 04, 2020
- �_ "i EXPIRES M,, 04, 2020
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
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