HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A I PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED ( 6
Date S—CANNSD Permit Number: o `' /
By Rr;cFrvFo
ate Lude Murity , ,.
0 2f;18
Building Permit Application permlttingDe
Plann ng and Development Services
5t• LuciP rp,,!tm�em
Buildi g and Code Regulation Division
2300 j.rginia Avenue, Fort Pierce FL 34982
Phon "II: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
jIT APPLICATION FOR: Gas tank
='
PROPOSED
IMPROVEMENT`LOCATION:
Addres �1: 7500 Eden Rd
Legal D 'ascription: Lakewood Park- Unit 2- BLK 13 Lot 13
Propert''I Tax ID #: 1301-602-0057-000-9
Site Pla Name:
Project ame:
Setbacll Front Back:
Right Side: Left Side:
'-DETAILED DESCRIPTION -OF WORK:
i .
Install 50 gallon LP tank to generator and final connect
I.
-CONST�,RUCTION. INFORMATION:
itio al work to be nertormed under this permit — c4eck all apply:
ElAC L I Gas Tank
11 EI"ctric 0 Plumbing
ail
Total Sq. Ft of Construction:
Cost of C II nstruction: $ 3100.00
i
Lot No. 13
Block No. 13
Gas Piping
_
Shutters
Q
Windows/Doors
Sprinklers
El
Generator
E]
Roof
Roof pitch
S Ft. of First Floor: _
Utilities:Sewer Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
NameJo
°n & Loretta Allen
Name: Blake Cowdell
Company: Energized Gas
Address:
'1500 Eden Rd
City: For(Pierce
Zip Code'
Phone No:1772-461-3793
State:FL
34951 Fax:
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax9.772-318-6672
Phone No. 772-466-1095
E-Mail:twner
Fill in fetle Holder on next page ( if different
from thted above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
If value of 4onstruction is $2500 or more, a RECORDED Notice of Commencement is required.
r
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESI
Nam I
Ad d r I
q
City: 'Fort
Zip: 11
NER/ENGINEER: _ Not Applicable
' John & Loretta Allen
MORTGAGE COMPANY: _ Not Applicable
N a me: Blake Cowdell
SS: 7500 Eden Rd
Ad d ress: 7500 Eden Rd
Pierce State:
Phone
City: Fort Pierce State:
Zip: Phone:
FEE SAMPLE
Nam
Addr
City:
Zip:
TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
iSS:4252Bandy Blvd
Address:
City:
I Phone:
'I
Zip: Phone:
OWNE /CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
1 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 'n conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structur ''. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consi leration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accor 'ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folio ing 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
WARNI G TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improv ments to your property. A Notice of Commencement must be recorded and posted on the jobsite
before 'he first inspection. If you intend to obtain financing, consult with lender or an attorney before
comme ' work or recording our Notice of Commencement.
l
Signat 'e Owner Lessee/Contractor as Agent for Owner Signa a of Contractor/License Holder
ro
STATEIIOF FLORIDA STATE OF FLORIDA
COUN OF L�c;le COUNTY OF Lv���2
4
The fo cing it
was acknowledged before me The forgoing instrument was acknowledged before me
this day of lu ly 20L by this day of :Tu 20jff by
� 1Name of person making statement
Personally Known OR Produced Identification
Type of dentification
Flake, CorNAil
Name of person making statement
Personally Known X OR Produced Identification
Type of Identification
Produced
Loh
(Signatul
,,
(Signature of, ry PubI
C E
NICHOLE APON E
a.:
Comis
m
"R=
N ;': MY COMMISSION # Fb31
'= MY COMMISSION # F
Commissio,I�1�,,,,:
JI •,,;.M1 ,.� EXPIRES May 04, 2020
May 04, 2020
14C713%.0'53
140713WO' 53 Florldalloa sorrfoa.carn
FWridalloa saMco.com
REVIE
Id
'IS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVE
DATE
COMPLEI
ED
Rev. 8/2/1