Loading...
HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Date: 1 - 23 10 Permit Number: " O 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 ID q: Site Plan Name: Project Name: l c S DETAILED' FEE— IBuilding Permit Applicatio Commercial Residential -o0 6 f —Dod- Q Ki ,geld 7 e"Ila 6,04 e-ci - CONSTRUCTION'INFORMATI©N , Lot No. Block No. Additional work to be performed under this perm' -check all that apply: _Mechanical _Gas Tank _Gas Piping _Shutters —Windows/Doors _ Electric _ Plumbing _ Sprinklers Total Sq. Ft of Construction: Cost of Construction: $ 0 0- (� a Generator Roof Pitch Sq. Ft. of First Floor: Utilities: _Sewer _Septic Building Height: OWNER/LESSEE; ' CONTRACTiOR Name Qr /K O I Name:Blake Cowdell Address: C. i Company: Energized Gas �d6/' City: For*- 7 fe rc G State: L Zip Code: ?J �Q �S Fax: Phone No. Address:1786 Biltmore Street Port Saint Lucie FL City: State:_ Zip Code: 34984 Fax: 7723186672 Phone N0772466-1095 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 requirea. 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 Home Owners Association bylaws that may restrict or such which is in conflict with any applicable rules, or and covenants prohibit 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." �rMAJ ,,//W �� Ll&V Signature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STATE OF FLORIDA STATE OF FLO A COUNTY OF * LOU, COUNTY OF The forgoing instrument was acknowledP,before me The fo oing ins t was acknowledg�d_`before me this � day of Da� 2M by this ay of / Q 210 C6 by I�/� (LA LY'(J' Name of person making`statement. Name of person making statement. X Personally Known OR Produced Identification Personally Known "' OR Produced Identification Type of Identification Type of Identification Produced 449 Produced (Signature ...."ub i i mi .;_G �l I N{Ftdf8i 32946 EXPIRES: June2%� Signature Pt� .:.:.r$u i ( qt�j _0 g �Wt GG2 2946 EXPIRES: •o �2�0�j2 Commission Owe' ro c�,puWkiTrtdWwrite�s ,7'.a•"• June 27, Commissic IvRpFi�.R".• ....--Bcnded-i7+xrPletary public U�nevnat�rs REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEATURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVED DATE COMPLETED ev.