HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: SIB tUU EQ Permit Number:
i
Building Permit Application JUN 18 2018
Planning and Development Services
Building and Code Regulation Division Permitting Department
2300 Virginia Avenue, Fort Pierce FL 34982 t, k�n2 County, L.
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Reside
PERMIT APPLICATION FOR: Gas tank El
PROPOSED IMPROVEMENT LOCATION:
Address: 1531 NW Buttonbush Cir.
Legal Description: Harbour Ridge- Plat 13-Buttonbush Village Unit 19 ( OR 3795-2061)
Property Tax ID #: 4426-815-0026-000-0 Lot No.
Site Plan Name: Block No.
Project Name:
Setbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Install 500 gallon LP tank to generator with final connect
CONSTRUCTION INFORMATION:
- .
Add itional work to be nertormed under
E1HVAC LJ Gas Tank
this permit — check
❑Gas Piping
all apply:
_ Shutters
Windows/Doors
11 Electric Plumbing
Sprinklers
11 Generator
E] Roof Roof pitch
Total Sq. Ft of Construction: 3395.00
Sin of First Floor:
OSeptic
Height:
Cost of Construction: $
Utilities:
L_J
Sewer
Building
OWNER/LESSEE:
CONTRACTOR:
NameFidaho LLC
Name: Blake Cowdell
Address:1531 NW Buttonbush Cir
Company: Energized Gas
City: Palm City State: FL
Zip Code: 34990 Fax:
Phone No.419-376-5000
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. — — '.—N •
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
N a me: Fidaho i_LC
me: Blake Cowde,
N an
Address : 1531 NW Buttonbush Cir.
Ad d ress : 1531 NW Buttonbush Cir
City: Palm City State:
City: Fort Pierce State:
Zip: Phone
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Ad d 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 our Notice of Commencement.t.
( '6Wd'111 .
2 b 6�A&
Sign ure of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF %. wae-
COUNTY OF Waif
The forgoing instrument was acknowledged before me
this day of %&g _ 20-Lt by
The for oing instrument was acknowledged before me
this day of 20A by
&IL cow&[
91CA4 Coy.&I
Name of person making statement
Personally Known OR Produced Identification
Name of person making statement
Personally Known X— OR Produced Identification
Type of Identification
Type of Identification
Produced
Produced
(Signature of Notary Public- State of Florida)
(Signature of Notary ublic- State of Florida )
t�9�lA P' /4PC99N1
OMMISSION # FF963031
PIRES May 04,2020EXPIRES
Comm!"FRONT
Commissiot~"•:`&.. Ld9C�J®LE APC)W§)
y;MY COMF963031
aMa 04 2020
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ltREVIET
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
TER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17