HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
k Permit Number: 1 0 U
BY
'-t Lucie COU"
Building Permit Application
g and Development Services
I and Code Regulation Division
rginia Avenue, Fort Pierce FL 34982
: (772) 462-1553 Fax: (772) 462-1578
RECEIVED
JUL 1!0 2018
St.
Commercial Residential
PER IT APPLICATION FOR: Gas tank El -
PRO, OSED IMPROVEMENT LOCATION:
Addre�s: 8833 Lonesome Pine Trl
Legal Description: Hidden Pines Estates BLK C W 156.01 FT of Lot 16 (1.05 AC) (OR 999-1940)
Propety Tax ID #: 2323-701-0050-000-5 Lot No.
Site Pyll n Name: Block No.
Proje III Name: Gahn
Setbz l ks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Instalj� 500 gallon LP tank to generator and final connect
CONSTRUCTION INFORMATION:
Addional work to be Derformed under this permit— check all apply:
HVAC Lv I Gas Tank ❑Gas Piping _ Shutters []Wind ows/Doors
Electric 0 Plumbing Sprinklers 1:1Generator .Roof Roof pitch
Total q. Ft of Construction: S . Ft. of First Floor:
Cost f Construction: $ 3495.00 Utilities: Sewer Septic Building Height:
OW i ER/LESSEE:
CONTRACTOR:
Nam William Gahn
Name: Blake Cowdell
Addr ss:8833 Lonesome Pine Tri
Company: Energized Gas
City. ort Pierce State: FL
Address: 4252 Bandy Blvd
Zip C$ de: 34945 Fax:
City: Fort Pierce State: FL
Phonl N0.772-465-9373
Zip Code: 34981 Fax: 772-318-6672
E-M il:
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
Fill i
fee simple Title Holder on next page ( if different
from
the Owner listed above)
State or County License: FL34747
If valoo of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUF,
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI
Na
Add
City:
Zip:
NER/ENGINEER: — Not Applicable
• William Gahn
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Address • 8833 Lonesome Pine Td
City: Fort Pierce State:
Zip: Phone:
�ess:8&33 Lonesome Pine Tri
Fort Piece State:
Phone
FEE
Name:
Add'
City:
Zip:'
IMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: _Not Applicable
Name:
Address:
City:
ess:4252BandyBlvd
Phone:
Zip: Phone:
OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi& that no work or installation has commenced prior to the issuance of a permit.
St. Luc 2 County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such;
strUCtL re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accdance 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
WAR ING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr vements 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
comr>iencinl=_ work or recording vour Notice of Commencement.
Sign f Owner/ Lessee/Contactor as Agent for Owner Signdftrre of Contractor/License Holder
STA rE OF FLORIDA STATE OF FLORID&� I
CO NTY OF t . L,,L�Le COUNTY OF tar- le
The Ardayof
ing instrument was acknowledged before me
this MI y , 20, f by
Name of person making statement
inally Known � OR Produced Identification
of Identification
The for oing instrument was acknowledged before me
this day of l u/ y , 20_H by
9faki, . Couidt l i
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
ture o Iu.S#ste.c#.Gle ' (Signature abbe-statzeff
+' •;� NICHOLE APONTE NICHOLE APO TE
ission ••� ISSION 00*3031 Commissio - MY MY COMMISSION # F 31
EXPIRES May 04, 2020 '•. ,y.• EXPIRES May 04, 2020
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EWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
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