HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Permit Number:
By
c��L®R, RECEIVED
Building Permit Application JUL 13 2018
Plan ping and Development Services
Builc ling and Code Regulation Division ST. Lucie County, Permitting
230 Virginia Avenue, Fort Pierce FL 34982
Pho, e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Gas tank 0
PRO,QOSED IMPROVEMENT LOCATION:
Addr Is: 2801 Bent Pine Dr
Legal Description: Monte Carlo Country Club- Unit Two- Lot 91 (OR 4116-2116)
Site
y Tax I D #: 1334-502-0008-000-6
n Name:
Name: Tanner
ks Front Back: _
Right Side: Left Side:
DEVILED DESCRIPTION OF WORK:
Tie ini,o existing gas line to run 40ft gas line with regulator for pool heater
Lot No. 91
Block No.
CONSTRUCTION
INFORMATION:
Addi
onal work to e e
Ei
orme under
Gas Tank
tispermit—c ec
❑Gas Piping
a
apply:
Shutters
Windows/Doors
HVAC
_
Electric 0 Plumbing
Sprinklers
Generator
Roof Roof pitch
Total
Ft of Construction:
�1'q.495.00
S Ft. of First Floor:
F]
Cost
�I
Construction: $
Utilities:
Sewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR: -
Nam
Addr
City:
Zip C
Phone
E-M
Fill in
from
Jaime Tanner & Daniel Boggi
Name: Blake Cowdell
Company: Energized Gas
Address: 4252 Bandy Blvd
ss: 2801 Bent Pine Dr
ort Pierce State: FL
D de: 34951 Fax:
No.772-321-6157
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
il:
fee simple Title Holder on next page ( if different
�he Owner listed above)
E-Mail:rE:nergizedGenerators@gmail.cl'om
State or County License: -�
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI NER/ENGINEER: Not Applicable MORTGAGE COMPANY: _ Not Applicable
Name: Jaime Tanner a Daniel Boggi Name: Blake Cowdell
Ad d r I SS: 2801 Bent Pine Dr Address: 2801 Bent Pine Dr
City: IFort Pierce State: City: Fort Pierce State:
Zip: Phone Zip: Phone:
FEE SJIMPLE TITLE HOLDER: _ Not Applicable
Nam :
Ad d ress: 4252 Bandy BNd
City:I1
Zip: I Phone:
BONDING COMPANY:
Name:
Address:
City:
Zip: Phon(
Not Applicable
OWN�R/ 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. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which it in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
structu II'e. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In cons I eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco (dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fol owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access iry 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
impro�rements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor th first inspection. If you intend to obtain financing, consult with lender or an attorney before
com ncing work or recording Your Notice of Commencement. /]
as Agent for Owner
STATE OF FLORID►+ U��
CO NTY OF L
The f gging instr e t was acknowledge efore me
this i dday of 1, 20Jby
IName of pers1making statement
Pers onally Known OR Produced Identification
Type Hof Identification
Prod I ced
l
(Signature of N StaVANIM11011MVP.
* MyCOMM 1M#GG23290
..ommission No. 2022
Signatu
STATE OF FLORIDA,-
COUNTY OF'� �C�h
The for�oing instrument was acknowledg before me
this 1 day of 20 by
Name of per on aking statement
Personally Known OR Produced Identification
Type of Identification
Produced
ilf" 'd W COMMiS" a GG 2321W
Commissi V 27,2Dfieal)
RE)
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DAT
REC
IVED
DATE
COS
PLETED
Rev. 8h/17