HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONki LLAPPLICABLj`E INFO
�MUST
)BE COMPLETED FOR APPLICATION TO BE ACCEPTED / �l/ (� ' 0
(Date: GP • of / SCANNEBrmit Numb r: ED
-F BY
• - St. Lucie County JUN 2 8 2018
r Building Permit Application Permitting Department
Planning and Development Services 9 p rtment
Building and Code Regulation Division St. Lucie County, FL
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
II
IIIbERMIT APPLICATION FOR: Gas tank
-'
PROPOSED IMPROVEMENT LOCATION;:
Address:
7991 Plantation Lakes Dr
Legal Description: Reserve Plantation -Phase [[A -Lot 54 ( Map 33/28N) (OR 3854-1461)
Property Tax ID #: 3321-803-0058-000-1
Site Plan Name:
Project Name:
Setbacks Front Back:
Right Side: Left Side:
Lot No.54
Block No.
I DETAILED DESCRIPTION OF WORK: I
Add an additional 250 gallon tank to existing tank
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit— check all apply:
11HVAC Ri Gas Tank Gas Piping _ Shutters Windows/Doors
11 Electric 0 Plumbing Sprinklers ElGenerator E] Roof Roof pitch
Total Sq. Ft of Construction: _
Cost of Construction: $ 1895.00
S Ft. of First Floor: _
Utilities: —Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Wendell Finch
Name: Blake Cowdell
Address:7991 Plantation Lakes Dr
Company: Energized Gas
City: Port Saint Lucie State: FL
Zip Code: 34986 Fax:
Phone No.772-44'8-4642
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.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER: _ Not Applicable
Name: Wendell Finch
MORTGAGE COMPANY: _ Not Applicable
N a m e: Blake Cowdell
Ad d ress: 7991 Plantation Lakes or
Address: 7991 Plantation Lakes or
City: PortsaintLucie State:
rip: Phone
City: FortPierce State:
Zip: Phone:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
BONDING COMPANY: Not Applicable
Name:
I ddress:4252BandyBlvd
Address:
City:
City:
lZip: Phone:
Zip: Phone:
,OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
'll 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.
Sy,aa6re of Owner/ Lessee/Contractor as Agent for Owner
Sig ure of Contractor/License Holder
STATE OF FLORIDA
STATE OF FLORIDA
COUNTY OF 51 ° Luc,ir,
COUNTY OF <A . LuGIG
The forgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
this 4gj(v day of 7V r*A_ 2011 by
this day of Tu IA _ 201L by
Iau ,G1l
lake, &"Jel (
Name of pe son making statement
Name of person making statement
X
Personally Known 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 Public- State of Florida )
pQ:°� NIC�JOL.I A� 2
Commissio } : s N("'a
Commissi)
NICHOLE API1 E
ION # FF
MY COMMISSION # FF963031
- u
';'TF ;{o;:' EXPIRES May 04, 2020
•.?ociyo,• EXPIRES May 04, 2020
t4071398-0•e3 Floddallo!a. s rvi
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
tev. 8/2/17