HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: � ' SUANNO Permit Number:
bowl
VED
Building Permit Applicati n JUN 18 2018
Planning and Development Services
Building and Code Regulation Division Permitting e a rtm e
2300 Virginia Avenue, Fort Pierce FL 34982 p nt
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial R�stiA C FL
PERMIT APPLICATION FOR: Gas tank '-
PROPOSED IMPROVEMENT LOCATION:
Address: 3616 Grove Ct.
Legal Description: The Grove at Panther Woods (PB 40-5) Lot 10 ( or 1425-2528)
Property Tax ID #: 1327-805-0006-000-0
Site Plan Name: Ronald Vincent
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION Of'WORK:
Install 500 gallon LP tank with line to generator and final connect
Lot No. 10
Block No.
CONSTRUCTION INFORMATION:
Additional work to be ner orme d under this permit— check all apply:
11HVAC LJ Gas Tank []Gas Piping _ Shutters a Windows/Doors
nElectric 1:1 Plumbing Sprinklers Generator 1:1 Roof Roof pitch
Total Sq. Ft of Construction: S Ft. of First Floor:
Cost of Construction: $ 2900.00 Utilities: L_I Sewer Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameRonald Vincent
Name: Blake Cowdell
Address:3616 Grove Ct
Company: Energized Gas
City: Fort Pierce State: FL
Zip Code: 34951 Fax:
Phone No.772-465-5218
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
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: FL34747
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. 9 70 S?3
I
,SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
N a m e: Ronald Vincent
MORTGAGE COMPANY: _ Not Applicable
N a me: Blake Cowdell
Add ress: 3616 Grove Ct.
Address: 3616 Grove ct
City: FortPierce State:
Zip: Phone
City: Fort Pierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
Add ress: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 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
commencing work or recording your Notice of Commencement.
"'�Jg I (J"&PJ -
& (z,'"
Signa ure of Owner/ Lessee/Contractor as Agent for Owner
�I'�.fA
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF Lyc. a
COUNTY OF qh . Wc1 e,
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this -IL day of 'Svr-.A- 20A by
this day of 20_ by
S&44 Cowdell
76(alctr (OvAe(I
Name of person making statement
Name of person making statement
Personally Known X OR Produced Identification
Personally Known �_ OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary Pu lic- State of Florida )
:��"°",� : NICR%E APONTE
a��•:v'. NICH �.� APONTI~ a
,0` ' = 11
Commission No. A _
-� Q MY COMMISSION # FF963031
Commission No. ea
MY COM ISSIbN # FF96303
'� EXPIRES May 04, 2020Pun
EXPIRES May 04, 2020 i
ice com
t
14071 'AQ t.n, p ri rid,N,'a 1
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
i,ev. 8/2/17