HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 31S la a Permit Number:
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 Wank
PROPOSED IMPROVEMENT LOCATION:
Address: 1407 N 45th St Fort Pierce, FL 34947
Property Tax ID #: 2406-506-0064-000-1
Site Plan Name:
Project Name: Bryant Tank
DETAILED DESCRIPTION OF WORK:
aao3-o\6 S
!RECEIVED l
Building Permit Applic AR 0 5
ST. Lucie county, Parrnittu,.2
Commercial Residential X
Install 250 gallon underground LP Tank with gas line to generator and final connect
CONSTRUCTION INFORMATION:
Lot No.3 & 4
Block No. 50
Additional work to be perfoymed under this permit— check all that apply:
_Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 2995.00
Sq. Ft, of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Eugene Bryant
Name: Blake Cowdell
Address:1407 N 45th St
Company: Energized Gas
City: Fort Pierce State`
Zip Code: 34947 Fax:
Phone No.7728286179
Address:1786 SW Biltmore St
City: Port st Lucie State: FL
Zip Code: 34984 . Fax:
Phone No7727778133
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 $250D 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
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 LENDER OR ANATTORNEY BEFORE RECORDING YOUR OF COMMENCEMENT."
/NOTICE
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signa ure o Contractor/License-Holder
STATE OF FLORI!Al'h
COUNTY OF A X Dot
STATE OF FLORI�A
COUNTY OF J� X_t A.
The instSu{�ent was acknowledged before me
thisy of N 0n 2� by
The r oing ins r ent was acknowledg efore me
this day of - run " 2 by
ZVI(2) A X Q 4 A I
ft by c'cwcu I
Name of person making statement.
Name of person making statement.
Personally Known IKI�OR Produced Identification
./
Personally Known `r OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Not f •g$tatcA9
f. ;.:1A_ IISSIO 9GG232M
Commission No. EX?IRES{j�I�7,p�
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ONCALVES
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(Signature of NoImmyPuWUndemilem
Commission No. 7,2022
o�ary PuWUn4emilem
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
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DATE
RECEIVED
DATE
COMPLETED
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