Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: �1 p • 2-6 Permit Number: Q Building Permit Appli Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial PERMITTYPE:GaS Address: PropertyTaxiD#: `1�0�0( gi6 —001 z—,ccel— 7 Site Plan Name: J:5 Project Name: 5 [&us ref It DETAIL"-"-ED DESCRIPT]ONiOP WORK- 5 n FEB 18 2020 ST. Lucie County, Permitting Residential bt, a .LA / connfr-�— Additional work to be performed under this permit- check all that apply: _Mechanical _Gas Tank )�GasPiping _Shutters _ Electric _ Plumbing _ Sprinklers _ Generator Total Sq. Ft of Construction: Cost of Construction: $ Sq. Ft. of First Floor: Lot No. Block No. Windows/Doors Roof Pitch Utilities: _Sewer _Septic Building Height: ©W N E R/LESSEE.' E,QNTRACTi, Q R Name 3f; Name: Blake Cowdell Address: 1176 Le>A hA Uc005 Dri Company: Energized Gas City: 1l� h3&rs6i a 1A { ) i r o State: MI Zip Code: L 0 a Fax: Phone No. Address:1786 Biltmore Street City: Port Saint Lucie State: FL Zip Code: 34984 Fax: 7723186672 Phone N0772-466-1095 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 LicenseLIP34747 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. SOPRLEMENTA;L CONSTRUCTI©NI LIEN` LAW' WORMAfTION DESIGNER/ENGINEER: _ Not Applicable Name: MORTGAGE COMPANY: _ Not Applicable Name: Address: Address: City: State: Zip: Phone City: State: Zip: Phone: FEE SIMPLE TITLE HOLDER: _ 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 contlict 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 RECURUING TUUR Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License-Holder STATE OF FLORIDA I STATE OF FLO COUNTY OF COUNTY OF 1 The forgoing instrument was acknowledged before me this�day of 20�y ) aflame of person making statement. Personally Known i OR Produced Identification Type of Identification R. (Signature of to P 13f3lliad GG 232946 PIRES:June27,2022 Commission No. F�,_ d�_°'„ Bonded Thm NotTJW9i) Undenvdtars The forgoing Instrunlent was acknowledged before me thi3-1_ 1]A day of Tf M, JN . 20�Db by Name of person making statement. Personally Known 'N OR Produced Identification Type of Identification REVIEWS I COUOPLANS NTER I REVIEW S REVIEW OR I REVIEW [�IUI�iIIINIq� MY COMMISSION # GG 248MI ) EXPOiES.—June 27, 2022 VEGETATION I SEATURTLE I MANGROVE REVIEW REVIEW REVIEW