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HomeMy WebLinkAboutBuilding Permit ApplicationI All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 3`S`aa Permit Number: Building Permit ApplicaLion MAR 05 2020 Planning and DevelopmentServicesLucie County Building and Code Regulation. Division ,Perm 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X PERMITTYPE:Gas tank and lines PROPOSED IMPROVEMENT LOC-AiFlION: Address: 116 Queen Christina CT Hutchinson Island, FL 34949 Property Tax ID #: 1414-702-0008-000-5 Site Plan Name: Project Name: Brandenburg tank Lot No. H Block. No. 21 Supply and install 500 gallon underground LP tank with gas line to generator and range and final connect Additional work to be perforrged under this permit— check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 5664.00 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEEz C©NTRAC�TOR: Name Harold, Brandenburg Name: Blake Cowdell Address:116 Queen Christina CT Company: Energized Gas City: Fort Pierce State: Zip Code: 34949 Fax: Phone N0.703-8554604 Address:1786 SW Biltmore St City: Port ST Lucie State: FL Zip Code: 34984 Fax: 7723186673 Phone N07727778133 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 License LG34747 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. IIIAI SUPPLEMENTrALCONSTRU4CT10 LIEW 11VF©RMATI©N: DESIGNER/ENGINEER: _ Not Applicable -Name: ------------------------: - ----------Name: MORTGAGE COMPANY: _ Not Applicable --------- ------------------------------ 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 CountyY 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 LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." ALP a'."& RI.J, Signature of Owner/ Lessee/Contractor as Agent for Owner .,Signature of Contractor/License Holder STATE OF FLORIDAfi STATE OF COUNTY OF �� U. �c-Li COUNTY OFO TI�� JL I The r oing inst nt was acknowled before me The oing instrument was acknowledged before me this day of 20�by b�a1r� L this ay of 20_ by V-)UW c Name of person making statement. Name of person making statement. Personally Known x OR Produced Identification Personally Known OR Produced Identification Type of Identification Type of Identification Produced Produced .� EXPIRES: 46 (SignatuBonde June 27,2122 (Si not SafyPu a,foMY C4 EXPIRES: June 27,20NCommis Comm dihmNeleryPublicU '- Uen rc.g7NSotnypublicnden REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.