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HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: I. 2/�,+ - za Permit Number: �(1 0 401 Building Permit Appli Planning and Development Services JAN Z 3 2020 Building and Code Regulation Division 2300 Virginia Avenue, Fort Pierce FL 34982 ST. Lucie County, Permitting Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PERMITTYPE:GaS �t•Y11Ti' Property Tax ID #: Site Plan Name: i Project Name: IOU4 -�Nr 7505e -Sal-oo a n Fe.•na nc�e � � gnu SULcroc'4•d� 66NSTRUCTIONiaNP6AM'AT ,ION:' Z Lot No.�r Block No. 3 Additional work to be performed under this permi —check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters _Windows/Doors _ Electric _ Plumbing _ Sprinklers _ Generator _ Roof Pitch Total Sq. Ft of Construction: Sq. Ft. of First Floor: '' 11 nn � Cost of Construction: $ 6 `1 Wills . Utilities: _Sewer _Septic Building Height: OWNERS/L'ESSEE': ,C;©NTR'ACTOR Name er i rei 2�-- Name: Blake Cowdell Addre%s�/•1gp<i/ 51J 5 f•a G ( Y City: /4Let+e. o State: A5L Zip Code: 5 !i / 7 Fax: Phone No. Company: Energized Gas 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 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. 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 LENDER A,N%ATTORNEY BEFORE RECORDING YOUR NOTICE OF COMMENCEMENT." /YOUR /IOR• . ^LU.WC.. l._19�/�(.Lt" &� �.r�Wl�.t.C.yi Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLO - COUNTY OF 51_LUC�. COUNTY OF )C_Lw The f ns ment was acknowledged before me this, it13Y of 20a)by The forgoing instrument was acknowledg d before me thi ay of 20by %c.� 1 /P 1 I ame of person making statement. Name of person making statement. Personally Knowx__� — OR Produced Identification Personally Known N__1_ OR Produced Identification Type of Identification Type of Identification Produced Produced (Signatur €;ft�ubl' - 1 _ •.- M� I��t5(518iR946 EXPIRES: ryne 27, 2022 tare Commissio oFta public (Signature of Notary Commission No. ip ' g of �. M C0M SIGN # GO 232946 `+,'e° EXPIfj$;�Yppe 27, 2022 BondedThm o Fubl'�c Underx�5tere REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.