Loading...
HomeMy WebLinkAboutBuilding Permit Application5j Y All APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED LpI Date: 1' 1 3' n Permit Number: r ©' l I Planning and Development Services Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 Phone: (772) 462-1553 Fax: (772) 462-1578 PERMITTYPE:GaS Address: Property Tax 11 Site Plan Name Project Name: Building Permit Application JAN 2 3 2020 ST. Lucie County, Permitting Commercial Residential Lot No. Block No. Additional work to be performed 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: $ '7 / 7 4 rJ 6 Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE: CONTRACTOR Name ( r ieD Name: Blake Cowdell Address: L) e Company: Energized Gas City: ar 5 4- coo ( State: Zip Code: 3 L14, Sq Fax: Phone No. Address:1786 Biltmore Street City: Port Saint Lucie State: FL Zip Code: 34984 Fax: 7723186672 Phone No 772-466-1095 E-Maii: Fill in fee simple Title Holder on next page ( if different from the Owner listed above) E-Mail energizedgenerators@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. , SUPPLTA EMENL CONSTRUCTION LIEN' LAW' INFORMATION I DESIGNER/ENGINEER: _ Not Applicable Name: - - MORTGAGE COMPANY: Name: - - _ Not Applicable Address: Address: City: Zip: Phone State: City: Zip: Phone: State: FEE SIMPLE TITLE HOLDER: Name: _ Not Applicable BONDING COMPANY: Name: _Not Applicable 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 AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." 411&� Aw&I Signature of Owner/ Lessee/Contractor as Agent for Owner STATE OF FLORID COUNTY OF ( )Jci s, The f r oing ins this day of Personally Known 4 Type of Identification Commission was acknowledged before me rig A 2030 by OR Produced Identification (j]XyllLQ, �191w.HY3LYi�J' Signature of Contractor/License Holder STATE OF FLORI COUNTY OF l J p 4 The for oing instr ment was acknowledged before me this day of 20ab by � Icalw Clot)(M Name of person making statement. Personally Known v OR Produced Identification Type of Identification (Signal reJR" ary P Rol PNES�t;K7NCpIA6@a ) MY COMMISSION # GG 232946 EXPIRES; june27,2022(Sea Or' . Of F�,.• Tbm Notary Pubic Uadc:Wdtas REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED Rev. 217119