HomeMy WebLinkAboutBuilding Permit ApplicationAll APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: 1 ` v v �✓
R8CENED
Planning and Development Services
Building and Code Regulation Division
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578
DEC. p81019
Building Permit ApplicatiORn,lePa�ent
ucie County
Commercial Residential X
PERMITTYPE: LP4oniC
Address: 9612 Enclave Cir Port St Lucie, FL 34986
Property Tax ID p: 3322-800-0007-000-3
Site Plan Name:
Project Name: Bennington Residence
Supply and install (1) 500 gallon underground LP tank with gas line to generator and final connect
Lot No.4
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical d Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3795.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE�> xe k-r°�
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Address: 9612 Enclave Cir Port St Lucie, FL 34986
Property Tax ID p: 3322-800-0007-000-3
Site Plan Name:
Project Name: Bennington Residence
Supply and install (1) 500 gallon underground LP tank with gas line to generator and final connect
Lot No.4
Block No.
Additional work to be performed under this permit— check all that apply:
_Mechanical d Gas Tank _Gas Piping _Shutters —Windows/Doors
_ Electric _ Plumbing _ Sprinklers
Total Sq. Ft of Construction:
Cost of Construction: $ 3795.00
Generator Roof Pitch
Sq. Ft. of First Floor:
Utilities: _Sewer _Septic Building Height:
OWNER/LESSEE�> xe k-r°�
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CONTRACTORr,�-
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Name Grace & Richard Bennington
Name: Blake Cowdell
Address:9612 Enclave Cir
Company: Energized Gas
City: Part ST Lucie State:
Zip Code: 34986 Fax:
Phone N0.7728120982
Address:1786 SW Biltmore St
City: Port ST Lucie State: FL
Zip Code: 34984 /Faux-:: 7723186672
1�
Phone No TYD (�i'� S, J
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 License LG34747
3
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 CONSi RIICTIQ.N'
LIEN LAIN INFORMATION
DESIGNER/ENGINEER:
Name:
Not Applicable
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 Count makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is in con lict 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."
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310,6_ 6.00
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORI
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The for in inst ent was acknowled a before me
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Name of person making statement.
Name of person making s atement.
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REVIEWS
FRONT
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SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 2/1/19