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HomeMy WebLinkAboutBuilding permit applicationAll APPLICABLE INFO MUST BE COMPLETED FOR. APPLICATION TO BE ACCEPTED Date s A' r Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMIT TYPE: a-5 PROPOSED IMPROVEMENT LOCATION: Address: [�1��''i r; l i fG(e Oc i N—etc-e FL 3 4(Q , Property Tax I D #: I L -I [ 6 — S 4 � -� � `3_ «_- (:!�1 0 ©a Site Plan Name: 4 C P.e_(I { er-- Project Name: Permit Number: Building Permit Application Commercial Residential f DETAILED DESCRIPTION OF WORK: ,I,K_ L'..); -k (4 --,e, CONSTRUCTION INFORMATION: Lot No.__` Block No. _ Additional work to be performed under this 7Gas — check all that apply: _Mechanical _ Gas Tank Piping _ Shutters Windows/Doors Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: � CD Cost of Construction: $ Generator Roof Pitch Sq. Ft. of First Floor: Utilities: Sewer Septic Building Height: OWNERAESSEE: CONTRACTOR: Name he( ,+ 8 Name: Blake Cowdell Address: Company: Bnergized Gas City: &f4 &'G -e State: / Zip Code: 3 q q $ a_ Fax: Phone No. Address: 1786 SW Biltmore St City: Port ST Lucie State: FL Zip Code: 34984 Fax: Phone No 7727778133 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 LG34747 It 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. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION- DESIGNER/ENGINEER: Not Applicable Name: MORTGAGE COMPANY: , Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE FOLDER: Not Applicable Name: BONDING COMPANY: Not Applicable 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 wiIi authorize the permit holder to build the subject structure which is in conflict with any appilble 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 accessary 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." _910�w_ & Signature of Contractor/License Holder -(.,uv Signature of Owner/ Lessee Contractor as Agent for Owner STATE OF FLORIDA STATE OF FLORIDA COUNTY OF _ /UC�,c COUNTY OF � _ C A_�, trument was acknowledged before me A 1 1 20�y The rgoing inst ument was acknowledged before me thi 3kday ❑ � � 20 by i9i`..f I I Y��. Name of person making statement. Name of person making statement. Personally Known: OR Produced Identification Personalty Known_ OR Produced Identification Type of Identification Type of Identification Produced Produced L (Signature of Nw;' ki C�N GG 232846 (Signature of :qta Frf�li r RIFiGC�2:t294�a Oz EXPIRES EXPIRES: J �h2�22 Commission No�FFL°"IMn June 27,2022 f o�x ;°; Commission) Borsd��d7hniNot�ryrPug.�rt�i H fJnl. REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLFTED Kev. L///19