HomeMy WebLinkAboutBuilding Permit ApplicationALL APPLICABLE INFO USTE COMPLETED FOR APPLICATION TO BE ACCEPTED p�
Date: C J I Permit Number: ' CJ
Building Permit Application
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 FOR: Gas piping (-
PR'O'�P�OSED 11111PR®UE(1/iIENT L®CATI®N:
i
Address: 1515 Sawgrass Way
Legal Description: Harbour Ridge- Plat 13- Buttonbush Village unit 51 (or 2992-2730)
Property Tax ID #: 442681500580003
Site Plan Name: Mueller
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Gas line to generator _Cra v% ep�5�ri-+� uhJet-d5,ro&;r c� L f Te-A— k-
E1HVAC Li Gas Tank
11 Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 995.00
Sprinklers
LJ Shutters
Generator
S Ft. of First Floor: _
Utilities:[]Sewer Elseptic
Lot No.
Block No.
aWindows/Doors
Roof Roof pitch
Building Height:
OUVIN°ERLESS,EE:
CONl'R'A ®'R:
1 G ` C /�
Name4"�"y5 1. ) _5i�W��l '
Name: Robert Binkowski
Address:1515 Sawgrass Way
Company: Energized Gas
Address: 4252 Bandy Blvd
City: Palm City . State:FL
Zip Code: 34990 Fax:
City: Fort Pierce State: FL
Phone No.772-878-9079
-Zip Code: 34981 Fax: 772-318-6672
E-Mail:
Phone No. 772-877-3440
Fill in fee simple Title Holder on next page ( if different
E-Mail: Antonella@energizedgenerators.com
from the Owner listed above)
State or County License: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SUPPLEMENTAL CQNSTRU,Ct..ION LIEN LAW INFfJRMATION s b
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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:
Address:
City:
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
commencioR work or recording vour Notice of Commencement.
Signature of Owner/Lessee/Contractor as Agent for Owner I Signature of
Holder
STATE F F FL
OUNTOYOFOR�,(i1`j' Lal
l`C COUNTSTATEOYOFORIDA�I
The f rgoing instr e t as acknowledged efore me
this F day of 20 by
A . . .
(Namerf,persori acknowledging
(Signature of Notary P lic- StaVf Florida )
Personally Known OR Produced Identification
Type of Identification Produced
Commission No.
Revised 07/15/2014
Nota4*A)c State of Florida
Antonia M Paula
My Commission FF 191201
The f rgoing instr en was acknowledge before me
this day of 20 by
3'1� Wsh
(Name A.person acknowledging )
(Signature of Notary Public- Stat f Florida )
Personally Known �011 Produced Identification
Type of Identification Produced
Commission No.
Notary Public State of Florida
My Commission FF
Expires 02127t2019
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