HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (W- Permit Number: I O
By EIVED
• i/ st Loa C68 REC
Building Permit Application JUN ® 7 2018
Planning and Development Services
Building and Code Regulation Division ST. Lucie County, Permitting
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential X
PERMIT APPLICATION FOR: Gasttank
PROPOSED IMPROVEMENT LOCATION:
Address: 8481 Hidden Pines Rd I
1
Legal Description: Hidden Pines Estates BLK B Lot 2 (1.00 AC) (OR 319-1097)
I
232370100170002
Property Tax ID #: I Lot No. 2
1
Site Plan Name: Nippes Block No. B
Project Name:
Setbacks Front Back: Right Side: Left Side:
I DETAILED DESCRIPTION OF'WORK: I
Supply and install (1) 500 gallon LP tank with gas line to generator and final connect
1
1
CONSTRUCTION INFORMATION:
AdditjonaiworKtobenertormedunder this permit —check all apply:
11HVAC Gas Tank ❑Gas Piping In _ Shutters ❑ Windows/Doors
Electric 0 Plumbing Sprinklers E Generator 01 Roof Roof pitch
Total Sq. Ft of Construction: ' S . Ft. of First Floor:
Cost of Construction: $ 3 SZ70 Utilities:cn Sewer O Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJoyce Nippes
Name: Blake Cowdell
Address:8481 Hidden Pines Rd
Company: Energized Gas
City: Fort Pierce State: FL
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34945 Fax:
Phone No.772-465-0143
Zip Code: 34981 Fax: 3186672
E-Mail:
Phone No. 4661095
E-Mail: energizedgenerators@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 52500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Name : Joyce Nippes
Blake Cowdell
Name:
Ad d ress: 8481 Hidden Pines Rd
1
Address: 8481 Hidden Pines Rd
City: FortPlerce State:
City: FortPierce State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name: I
Name:
Address: 4252 Bandy Blvd !
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 that is granting a will authorize the permit holder to build the subject structure
makes no representation permit
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)I Association and review your deed for any restrictions which may apply.
In consideration of the granting of this requestedlpermit, 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 Ito obtain financing, consult with lender or an attorney before
commencing work or recording our Notice of Commencement.
hol a rolkA.'Agdo
I
Signs ure of Owner/ Lessee/ ontractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDAI
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STATE OF FLORIDA e
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COUNTY OF GVGtr�
COUNTY OF JT1 • I $
bl fore
The for oing instrument was acknowledged before me
The forgoing instrument was acknowledged me
!by
by
this day of � May 20JI
this day of 1Mq J 120
a�I %,.y�,l(
( aKe CQIAjr,
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Name of person making statement
Personally Known _�4-_ OR Produced Identification
Name of person making statement
Personally Known _ $ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
'sit
Ufa=
(Signature of Notary Public- State of Florida)
(Signature of Notary Publ'
"h+!�;i ®LE
NICHOLE APONTE
Commission No. APC3NTE
ommission No.
'; MY C $SION # FF963031
'= MY COMMISSION # FF9630
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=q • oc�'c EXPIRES May 04, 2020
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EXPIRES
ES May 04, 2020
(407( 398-0'53 Floridallo:arySorvicc.com
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ZONING
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Rev. 8/2/17