HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 3\ 5 �a.0
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
PERMITTYPEIP Tank
PROPOSED IMPROVEMENT LOCATION:
Permit Number: ad03-d�y�
RECEIVED
MAR 0 5 2020
Building Permit Application ST. Lucie County, Permitting
Commercial Residential X
Address: 7607 Greenbrier CIR Port St Lucie, FL 34986
Property Tax ID #: 3322-700-0118-000-7
Site Plan Name:
Project Name: Lorenz Tank
DETAILED DESCRIPTION OF WORK:
Install 500 gallon underground LP tank with gas line to generator and final connect
CONSTRUCTION INFORMATION:
Lot No.113
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical ) as Tank _Gas Piping _Shutters _Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 4200.00
_ Generator _ Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Peter Lorenz
Name: Blake Cowdell
Address:7607 Greenbrier CIR
Company: Energized Gas
City: Port St Lucie State:
Zip Code: 34986 Fax:
Phone No.5613795000
Address:1786 SW Biltmore St
City: Port ST Lucie State: FL
Zip Code: 34984 Fax:
Phone No7725956616
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E-Mail propanegasl4@gmail.com
State or County LicenseLG34747
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.
SUPPLEMENTALCONSTRUCTION '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 TITLEHOLDER: _ 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 Counri makes no representation that is granting a permit will authorize thegermit holder to build the subject structure
which is in conflict with any applicable Home Owners Association rules, bylaws or an 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT:'
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIS
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COUNTY OF �'�'��„
COUNTY OF T CkA
The forgoing instr Qit w sac nowledged before me
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Name of person making statement.
Name of person making statement.
Personally Known OR Produced Identification
Personally Known ` OR Produced Identification
Type of Identification
Type of Identification
Produced
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Produced
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EXPIRES: Juno 27, 2022
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2aw'!Pi%'c DANIELLE GONCALVES
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� EXPIRES: June 27, 2022
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