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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: '���L—�_ Permit Number:
RECEIVED
-- Building Permit Application FEB U 6 2019
Planning and Development Services Permitting pepartmeaf-
Building and Code Regulation Division mi Ludo epartm
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential x -SCPIED
PERMIT TYPE: Electrical Stand By Generator ,, ,..8 f'^11„1.1
Address: SHERATON PLAZA UNIT 2 REPLAT LOT41 (OR 345-213 )314 Essex Fort Pierce,FI 34946
PropertyTax ID #: 1432-805-0041-000-0
Site Plan Name:
Project Name: Kleckley Generator
22KW Generac Stand by Generator with auto transfer switch
Additional work to be performed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping
_ Electric _ Plumbing _Sprinklers
Total Sq. Ft of Construction:
/2 odo
Name
Address
City:
State:
Lot No.41
Block No.
_Shutters —Windows/Doors
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
Zip Code: .3.Z9 ik Fax:
Phone No.77Z S12—(CL(3 I
E-Mail: ��na CEX.e.�-4 �'12(� 2Je Arre_. (oft,
Fill in fee simple Title Holder on Aext page ( if different
from the Owner listed above)
Name: Steve Courtney
Company: Courtney Electric LLC
Address:9035 Americana Rd suite 15
City: Vero Beach State: FI
Zip Code: 32966 Fax: 772-212-0298
Phone No772-562-6048 X2
E-Mail Sales@courtne[yelectric.com
State or County Li r° '13006555
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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DESIGNER/ENGINEER:
Name:
_ Not Applicable
MORTGAGE COMPANY:
Name:
_ Not Applicable
Address:
Address:
City:
Zip: Phone
State:
City:
Zip: Phone:
State:
FEE SIMPLE TITLE HOLDER:
-Name: —
_ Not Applicable
BONDING COMPANY:
Name:
_Not Applicable
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 jobsite
before the first inspection. If you intend to obtain financing, consulttiith Jed r or an attorney before
commencing.w6kor recording vour Notice of Commencement —
as
STATE OF FLORIDA j STATE OF FLOR�A�_
COUNTY OF �ci" CC COUNTY OF h 1G -6 Qc✓ci
The forgoing instrument was acknowledged before me The forgoing instrum nt was acknowledge before me
this �, day of ' rjj) 20 7 by this day of 9 20 by
rA ke rCot.t-AOIG�
Name of person making statement. Name making statement.
Personally Known OR Produced Identification
Type of Identification.,.
Produced
(Signature of Notary
Commission No.
Personally Known OR Produced Identification
Type of Identification
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Public -State of Florida )
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