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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: S�1 ` Permit Number: ��'da��
SSG �r
iRECEIVED
® A �
AUG L
-- - - - Building Permit Applica ion
'Planning and Development Services ST. Lucie County, Permitting
Building and Code Regulation Division
!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: 250 BERMUDA BEACH DR, FORT PIERCE, FL, 34949
PiropertyTax ID #: 1425-701-0075-000-6 Lot No.11
Site Plan Name: FILOSA Block No. 4
Project Name-
1DETAED DESCRIPTION, F WORK IL
=.
Supply and install 22kw generator with 200 amp service entrance rated transfer switch and load sharing modules
CCONSTRU -TION INFORMATION;
M
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: Sq. Ft. of First Floor:
Cost of Construction: $ 8000.00 Utilities: _ Sewer _ Septic Building Height:
OWNER/LEfiSEE
CONTRACTOR: .
NameAlexander Filosa
Name: Michael Flaxman
Address:840 Red Bug Lake RD, STE 475
Company: Energized Electric
City: Winter Springs Stater—
Zip Code: 32708 Fax:
Phone No.4076191410
Address:4252 Bandy Blvd,
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No7724661095
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail energizedgenerators@gmail.com
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.
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Y
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Name:
Address:
Address:
City: State:
Zip: Phone
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address:
Address:
city:
City:
Zip: Phone:
i
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I Icertify 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
inl 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,
ai cessory 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
1 TWICE FOR IMPROVEMENTS TO YOUR PROPERTY. A NOTICE OF COMMENCEMENT MUST BE RECORDED AND
POSTED ON THE JOB SITE BEFORE THE FIRSTINSPECTION. IF YOU INTEND TO OBTAIN FINA ING, CONSULT
WITH YOUR LENDER OR AN A O BEF E RECORDING YOUR NOTICE F CO NCEM '
I
Signature of Owner/ Lessee/Co tr ctor as Oent for Owner
Signature of C?6tr/ctor/Lic/FKse Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF�-�- . Lucie
COUNTY OF ��, Luti e
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this - day of M 11 20Jg by
this -,M day of Tu / y 20JI by
"16%nel Flaxw►ay1
t��c4,aC` 1FtaXmann
Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Type of Identification
Personally Known �< OR Produced Identification
Type of Identification
I
I
Produced
Produced
(Signature
o - TE
SSION 3031
#(fie
�",,SMay 04, 2020
14C7139&0'33 rWk%NoW Sorvico.com
(Signat re otary
- c MY COMMISSION # FF963031
:Commissio
Commis 204beaI
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REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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DATE
COMPLETED
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