HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 7,,15• 2 0 Permit Number: O
Building Permit Application FEB 18 2020
Planning and Development Services ST. Lucie County, Permittin
Building and Code Regulation Division 9
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMITTYPE:Gas connection
PROPOSED IMPROVEMENT LOCATION:
Address: 10316 Crosby Place Port St Lucie, FL 34986
Property Tax ID #t: 3327-709-0042-000-5
Site Plan Name: Staub Gas
Project Name:
DETAILED DESCRIPTION OF WORK:
Disconnect gas line from existing generator, reconnect gas line to new generator
Lot No.87
Block No.
CONSTRUCTIO_ N FORIVIATION
Additional work to be perffoo(rmed under this permit— check all that apply:
chanical 'RPI _MeGas Tank p Gas Piping _Shutters _ Windows/Doors
Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch
Total Sq. Ft of Construction: Sq. Ft. of First Floor:
Cost of Construction: $ 495.00 Utilities: _ Sewer _Septic Building Height:
OWNER/LESSEE:
-CONTRACTOR:
Name William Staub
Name: Blake Cowdell
Address:10316 Crosby Place
Company: Energized Gas
City: Port St Lucie State
Zip Code: 34986 Fax:
Phone No.772-466-4386
Address:1786 SW Biltmore St
City: Port St Lucie State: FL
Zip Code: 34984 Fax:
Phone N07725956616
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 LicenseLP34747
If value of construction is $2500 or more, a RECORDEDNotice of Commencement is required.
If value of HVAC is $7,500 or more, a RECORDED Notice of Commencement is required.
-SUPPLEMENTAL CONSTRUCTION.LIEN`L-AW
INFORMATION .
DESIGNER/ENGINEER:
Name:
Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name:
Address:
Address:
City:
Zip: Phone
State:
City: State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER:
Name:
_ Not Applicable
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 con, 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."
A.,6yLNa.(.(/l
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Signature of -Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA I
STATE OF FLO
, '
COUNTY OF I�UC Q.0
COUNTY OF � ] CA_A
The forgoing inst u ent was a k owledg efore me
The fQ,rg�oing inst4umlRnt was ackn wledg d before me
)DXday by
this day of 20 y
this of 20
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Name of person making statement.
Name of person making statement.
Personally Known "C OR Produced Identification
Personally Known x OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of t�,r Psic- St2RPIR�ga01f�4t�@� 2022
(I1 .�'egF. P� Bonded Thru Notary Public Undervmters
(Signature of Nota U '4ta qd}
'�. <• F�(PIRE5:J ne 27, 2022
No
•,geFe�.•• 8ondedThru P.
Commission No:-
Commission No.
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. z111:L9