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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONILL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q 99 /�j_ (Date: SGt-vgNED Permit Number: ©( ' 0' BY _ St. Lucie County Building Permit Application 2018 tanning and Development Services permitting ve Building and Code Regulation Division �f' L '' Cou�tyent 300 Virginia Avenue, Fort Pierce FL 34982, 1 hone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential `- PERMIT APPLICATION FOR: Gas tank P OPOSED.IMPROVEMENTLOCATION: ress: 7703 Winter Garden Pkwy it Description: Lakewood Park Unit 5 BLK 48 Lot 18 (Map 13/11 N)(or 2489-162) P operty Tax ID #. 1301-605-0218-000-5 Lot No.18 Site Plan Name: Block No. 48 P Name: Iloject .�tbacks Front Back: Right Side: Left Side: d TAILED DESCRIPTION OF WORK:' I Ro R ne.,.) 5 CL5 (, Ae_ '�CcP cvl\ GO'NSTRUCTION, INFORMATION: T' ermit—c ec a app y: itiona wor tobe,4&torme un er [ffGas ❑HVAC a Tank Piping _ Shutters Electric _ Plumbing Sprinklers Generator tal Sq. Ft of Construction: S . Ft. of First Floor: st of Construction: $ 895.00 Utilities: Sewer Septic Q Windows/Doors Roof Roof pitch Building Height: bWN ER/LESSEE,: CONTRACTOR: N me Julie Archer Name: Blake Cowdell Address: 7703 Winter Garden Pkwy Company: Energized Gas City: Z�p P Fort Pierce State:FL Code: 34951 Fax: one No.772-643-0241 Address: 4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No. 772-466-1095 E. Mail: Fitt from in fee simple Title Holder on next page ( if different the Owner listed above) E-Mail: EnergizedGenerators@gmail.com State or County License: FL34747 If Oalue of construction is $2500 or more, a RECORDED Notice of Commencement is required. SSIPPL,EMENTAL CONSTRUCTION LIEN LAW INFORMATION! DESIGNER/ENGINEER: Name: Aldd q, Z I _ Not Applicable Julie Archer MORTGAGE COMPANY: _ Not Applicable Name: Blakecowdell ress:7703 Winter Garden Pkwy Address: 7703 Winter Garden Pkwy ty: FortPlerce State: p: Phone City: Fort Pierce State: Zip: Phone: O Z E SIMPLE TITLE HOLDER: _ Not Applicable ame: BONDING COMPANY: Not Applicable Name: d d re ss : 4252 Bandy Blvd Address: ity: City: p: Phone: Zip: Phone: OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I dbrtify 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 str cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In onsideration 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. Th`IIII following building permit applications are exempt from undergoing a full concurrency review: room additions, acessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WII RNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for i provements to your property. A Notice of Commencement must be recorded and posted on the jobsite b fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before commencing work or recording; your Notice of Commencement. . r (17 / r L7gC•C.li� gnature of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder ATE OF FLORIDA '� STATE OF FLORIDA )UNTY OF S� - Lud e, COUNTY OF -�- 1-0c.ie. e forgoing instrument was acknowledged before me is. •'day of '.fuw. 20]M by Name of person making statement nally Known X OR Produced Identification of Identification The forgoing instrument was acknowledged before me this K day of fft.M.L , 20 by Name of person making statement Personally Known _ L OR Produced Identification Type of Identification Produced �(Signature of Notary Public --State of Florida) (Signature of Notary Public- State of Florida ) Lmissi n. f i Idfia.i� 9� Alp (s► F9 "031 Commissio 9oYD�' ': 0�9gD6�0LAP°((�e �*3n31 SION # FF953U °= MY COMMISSION # FFS63031 , • • a� EXPIRES May 04, 2020 EXPIRES May 04, 2020 °C� ` '�� (AC7t30 0'53 Florida otarySorvice.com REVIE FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW ATE ECEIVED ATE OMPLETED . 8/2/17