HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AF
Date:
INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
SCANNED
Permit Number: I
_ BY
st. Lucie C0un4Y
Building Permit Application JUL 18 2019
Plannir jilg and Development Services Permltting Department
Building and Code Regulation Division St u ' County
23001/;rginia Avenue, Fort Pierce FL 34982
Phone (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
�IT APPLICATION FOR: Gas tank l
PROPOSED
IMPROVEMENT LOCATION:
Addri
Legal
133 Queen Christina Ct
ption: Queens Cove- Unit 1- BLK 9 Lot H
Prope Tax ID #:1414-701-0079-000-0
Site PI n Name:
Project Name: Knaggs
Setballrks Front Back:
Right Side: Left Side:
DETP'ILED DESCRIPTION OF WORK:
Instal1�250 gallon LP tank to generator with final connect
Lot No. H
Block No. 9
CON TRUCTION INFORMATION:
it Iona wor to ee orme under this permit— check a apply:
_ HVAC LJ Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
(Electric 0 Plumbing Sprinklers Generator Roof Roof pitch
Total I q. Ft of Construction: S . Ft. of First Floor:
Cost �f Construction: $ 2100.00 Utilities:n Sewer Septic Building Height:
II
OW
; ER/LESSEE:
CONTRACTOR:
Nam
Addrlss:133
City:
Zip
Pho I'e
E-l'
Fill i
fro
Shelley Knaggs
Name: Blake Cowdell
Queen Christina Ct
Company: Energized Gas
Address: 4252 Bandy Blvd
,Fort Pierce State: FL
&e: 34949 Fax:
No.772-332-7786
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
il:
I fee simple Title Holder on next page (if different
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.
SUP
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESI
N a m
Add r
City:
,� ER/ENGINEER: _ Not Applicable
T Shelley Knaggs
SS:133 Queen Christina Ct
MORTGAGE COMPANY: Not Applicable
Name: Blake Cowdell -
Address: 133 Queen Christina Ct
City: FortPietce State:
, tPlerts State:
Zip:
1I1 Phone
Zip: Phone:
FEE S
PLE TITLE HOLDER: Not Applicable
BONDING COMPANY: Not Applicable
Nam
Name:
ss:4252Bandy Blvd
Addr
Address:
I
City:
City:
IPhone:
'I
Zip: Phone:
Zip:
OWNE1h CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify hat no work or installation has commenced prior to the issuance of a permit.
St. Lucie ;bounty 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
structur ". Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consiration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accorl ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follIWIng building permit applications are exempt from undergoing a full concurrency review: room additions,
11
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN NG TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improements 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
comet bcing work or recording your Notice of Commencement.
L�l�r.1�
Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STAT OF FLORIDA STATE OF FLORIDA
COU ,TY OF . L!d,i C, COUNTY OF S4, t.&cie
The fof' ing instrument was acknowledged before me
this Jday of -:,iI J 20_a by
I Name of person making statement
Perso 'ally Known, V_— OR Produced Identification
Type a Identification
Produced
The forgoing instrument was acknowledged before me
this 1(L day of 'fu 13 , 20_M by
1d fDw& [I
Name of person making statement
Personally Known OR Produced Identification
Type of Identification
Produced
(Signature
of Notary Pu is
`�
(Signature of Notary Publ' -
;"" ICH LE APONTE
,;rV: NICHOLE APONTE
Comm'tsion
No. ••° MY CC�SNu!!$SION # FF963031
'•.,,91
Commission No. •= Y COMII�IMON # FF963031
,,• EXPIRES May 04, 2020
EXPIRES May 04, 2020
14C713980 53 Fbrldalloa Sorvko.com
14C7 980'63 FkxddaNd8ryB0rvtc4.c0n1
REVI
WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
'I
RECEIVED
COM
Rev. 8/