HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: 8..1 �,'� Permit Number:
RECEIVED AUG 02 2017
Building Permit Application
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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 Residential X
PERMIT APPLICATION O.
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Address: 3411 S Indian River Drive Fort poerce FI 34982
Legal Description: Einsel's S/D That part of S 82.75 feet of lot 4 LYG E of RR and N 40 feet of 107.75ft of lot 4
Property Tax ID #: 2426-502-007-000-4
Site Plan Name:
Lot No.4
Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
Install 500 gallon Liquid propane underground tank with line to generator.
E1HVAC
❑ Electric
"Shutters
0 Plumbing Sprinklers ❑ Generator Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 3495.00
Name Paul Wolters
Address:3411 S Indian River Drive '
City: Fort Pierce State:
Zip Code: 34982 Fax:
Phone No.8309981957
E-Mail:
S Ft. of First Floor: _
Utilities:
Sewer ❑Septic
Fill in fee simple Title Holder on next page (if different
from the Owner listed above)
Name: Robert Binkowski
Company: Energized Gas
Address: 4252 Bandy Blvd
11 Windows/Doors
❑ Roof
Building Height:
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 7723186672
Phone No. 7728773440
E-Mail: Antonella@Energizedgenerators.com
State or County License: 34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL
CONSTRUCTION
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LIEN LAIN INFORMA I,ON�
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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:
City:
Address:
City:
Zip: Phone:
Zip: Phone:
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 jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine-work or recordirje your Notice of Commencement. /
as Agent for Owner I Signature of Contractor/License Holder
STATE OF FLORIDA STATE OF FLORIDA
COUNTY OFSa1^«.da COUNTY OF—u-
The rday
ing instr ent was acknowledge efore me
this of 20'LLby
Robert Binkowski 1
(Nam of person acknowledging )
C �
(Signature of Notary Public- State of Florida )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No. �(otptorida
isu N ry publi
Antonia M Pla
on FF 191201
o Ex
Pires 02/27/2019
Revised 07/15/"
The forgoing instrument was acknowledged fore me
this 6 day of July , 20 by
Robert Binkowski
(Name of pei
acknowledging )
(Signature of Notary Public- State of Flo ' a )
Personally Known x OR Produced Identification
Type of Identification Produced
Commission No.
Notary Public State of Florida
My Commission FF 191201
Expires 02/27/2019 /
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