HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICA4LE IN ST E COMPLETED FOR AP%CL5TION TO BE ACCEPTED
Date: PermitNumber: 0
RECEIVED
L 5.0,14, 19 a
B 'Iding Permit Applical !on APR 2 5 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pi erce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: To.(
PRQP0E0,i1MP'R0.V_EM_ENT- L0.0,
Address: 115CGI)
Lejal DesTiption: 41yb.
a I Lp
PropertyTaxlD#:
Site Plan Name:
Project Name:
Setbacks Front Back:
W-0
ct from dropbox, click arrow at the end of line (� 0� -S
M Mal all W
Right Side
Left Side:
Lot No.
Block No.
6cls
k�5D D�T
f,
+0 gelqe,�Jafcv. (Ydoj: oonne-d-4-
C ON -STR X, T
Additional worKto be er to.rmed underth' a-1-1 M apply:
is g Elwin' dows/Door's
0HVAC GasTank Gas Pipin Shutters
I
i Roof pitch
Electric Plumbing Sprinklers Generator Roof
Total Sq. Ft of Construction: S Ft of First Floor:
_A(to_ - 11 -
Cost of Construction: $ �A Utilities: SewerE]Septic Building Height:.
L' ES S E E;:,
0 NT T1.
Nameukllyle6B
71im _0
Name: Blake Cowdell
Company: Energized Gas
Address: iWOW ILL)
Address: . 4252 Bandy BW.
City: S atf
Zip Codet3_1NqQ �-�Fax 17,1'.
51
City: Fort Pierce State: FL
PhoneNo.(
Zip Code: 34981 Fax-, 772-318-6672
E-Maill' in I I Ca
Phone No. 772 -466-1095"
E-Mail: jennifer.energized@gmail.com
Fill in fee simple Title Holder on next page
(if different
from the Owner listed above)
State or County License:
If value of construction is $2500 or more, a RECORDE I D Notice of Commencement is requirecl.
DESIGNERIENGINE
Name: —
Address:
City:
Zip: —
Phone
Not Applicable
State:
FEE SIMPLE TITLE HOLDER: Not Applicable
Name:
Address: 4252 Bandy 131vd.
City:
Zip: Phone:
MORTGAGE COMPANY:
Name: fflakeCowdell
Address:
City: FortPlerce
Zip: Phone:
BONDING COMPANY:
Name:
Address:
City:_
Zip: —
Phone:
Not Applicable
State:
Not Applicable
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 Countv 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 thaf may restrict or -prohibit such
structufe. 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 wiIIJn 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 ' concurrenEy.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
commencing work or recording your Notice of Commencement.
61�.
SiFnature of Owner/ Lessee/Co-n-tractor as Agent for Owner Signaftire of Contractor/License Holder
STATE OF FL0RIDt_j_, STATE. OF FLORIDA
COUNTY OF Le
LUN COUNTYOF L2,-+ i== m, - , _.—
The g instru cknowledge efore me
ti =Y"of Mvnt 20 Z
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Name of —on making statement
Personally Known OR Produced Identification
Type of Ide ti
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(Sillure of Notary Public- State of Florida
C01�1,1
Commission No. V . ....... A ,, Seal)
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, Vtfs Icknowledg efore me
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Type of ldentificati6n
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REVIEWS
a:RQNT P U B
1_70 N I IqG
SUPERVISOR
PLANS,
VF_GETAT
-.-SEA TURTLE
MANGROVE
REVIEW
REVIEW
4VAEW.
_�RtVIE!W'
REVIEW
DATE
RECEIVED
"0
DATE
COMPLETED
Rev. 8/2/17