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All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: \cs SCANNEDPermitNumber:
BY
St. Lucie County
Building Permit Applica ion MAR 1 9
Planning and Development Services
Building and Code Regulation Division 9T: EFfEie E an ern
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMITTYPE: Generator
PROPOSED IMPROVEMENT LOCgT1y0N -
Address: 13316 NW Maplewood Rd
Property Tax ID #: 4426-815-0046-000-6
Site Plan Name:
Project Name:
Install 22KW generator with 200amp transfer switch with (2) load sharing modules
Additional work to be performed under this permit — check all that apply:
_Mechanical _ Gas Tank _ Gas Piping _ Shutters
_ Electric _ Plumbing _ Sprinklers (4:�Generator
Total Sq. Ft of Construction: Sq, Ft. of First Floor: _
Cost of Construction: $ 9495.00
Lot No.
Block No.
Windows/Doors
Roof Pitch
Utilities: _Sewer _Septic Building Height:
01NNRjLESSEf__
CONTRACTOR
Name Elmer & Hilma Whipple
Name: Michael Flaxman
Address:13316 NW Maplewood Rd
Company: Energized Electric
City: Palm City State: _
Zip Code: 34990 Fax:
Phone No.772-336-0812
Address:4252 Bandy Blvd
City: Palm City State: FL
Zip Code: 34990 Fax: 772-318-6672
Phone N0772-466-1095
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
iT value oT construction is>zbuu or more, a ntcunutu Notice of commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
Y
SUfPI EMENTAL CONSTRk1CTION LIEN LAIN INFORMATION
_
'k
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:
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 JOB SITE BEFORE THE FIRST INSPECTION. IF YOU INTEND TO OBTAIN FINANCING, CONSULT
WITH YOUR LErJDEA OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE JOU COMMENCEMENT."
SignatLfre o O ner/ Le see/Contractor as Agent for Owner
Signature C tract/License Holder
STATE OF FLORIDA II
STATE OF FLORIDA D
COUNTY OF 1� JP_
COUNTY OF
The for oing ins u ent was acknowledg efore me
this day of 20by
The for oing instr ment was acl•nowledg d efore me
this day of� 20 _1by
M
Name of person making statement.
Name of person making statement.
Personally Known OR P duced Identification
Personally Known OR Prod ced Identification
Typ de 'fica i n
Type nti 'ratio
Pro uce
Prod ced
(Signature of Notary lic- State of Florida)
(Signature of Notary Public- State of orida )
Commission No. (Seal)
Commission No. (Seal)
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
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ACKSHEAR
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DATE
COMPLETE
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