HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONt
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1LL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED 1f0f7
nDate: SCANNED Permit Number: � (�
BY
� RECENED
Building Permit Application JUL 18 2018
Planning and Development Services
Buildingand Code Regulation Division Permitting Department
9 St. Lucie County
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
ERMIT APPLICATION FOR: Gas tank
ROPOSED IMPROVEMENT LOCATION:
idress: 2675 Conifer Dr
!gal Description: Monte Carlo Country Club- Unit Two- Lot 198
,operty Tax ID #: 1334-502-0079-000-4 Lot No.198
to Plan Name: Block No.
oject Name: O'Grady
atbacks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
existing gas line to generator and final connect
CONSTRUCTION INFORMATION:
itiona work to e e orme under this permit— check a apply:
❑HVAC Gas Tank ❑Gas Piping _ Shutters. ❑ Windows/Doors
❑ Electric ❑ Plumbing ❑Sprinklers ❑ Generator ❑ Roof Roof pitch
Sq. Ft of Construction: _
of Construction: $ 895.00
S Ft. of First Floor:
Utilities:r] Sewer ❑Septic Building Height:
OWNER/LESSEE:
CONTRACTOR:
N
ame Hedwig O'Grady
Name: Blake Cowdell
Company: Energized Gas
dress:2675 Conifer Dr
Fort Pierce
i�ty; State: _
Code: 34951 Fax:
No.360-770-8883
Zip
Phone
4252 Band Blvd
Address: Y
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Mail:
Phone No. 772-466-1095
F
I in fee simple Title Helder on next page (if different
Ener izedGenerators mail.com
E-Mail: 9� @9
f
i
om the Owner listed above)
State or County License: FL34747
IfIyalue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
UPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
�111ESIGNER/ENGINEER:
a m e: Hedwig O'Grady
Name • Blake Cowdell
d d ress: 2675 conifer Dr
Address: 2675 conifer Dr
i ity: Fort Pierce State:
City: FortPieree State:
ip: Phone
Zip: Phone:
EE SIMPLE TITLE HOLDER:' _ Not Applicable
BONDING COMPANY: Not Applicable
ame:
Name:
d d ress: 4252 Bandy Blvd
Address:
ity:
City:
Zip: Phone:
ip: Phone:
WNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I ertify that no work or installation has commenced prior to the issuance of a permit.
S Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject. structure
ich is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
s ucture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
I I consideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
iraccordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
T e following building permit applications are exempt from undergoing a full concurrency review: room additions,
a cessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
ARMING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
iripprovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
b fore the first inspection. If you intend to obtain financing, consult with lender or an attorney before
c'' mmencing work or recording your Notice of Commencement.
eg &/a (,&,�
er/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FL
LINTY OFORIDA-S4-' Lvc,i e 1COLINTY OFORIDA 54. Luei e
forgoing instrument was acknowledged before me
day of �:Su I ) , 20A by
Name of person making statement
finally Known _) OR Produced Identification
of Identification
iced
re of Notary Public- State of Florida )
The forgoing instrument was acknowledged before me
this day of , 20_ by
Name of person making statement
Personally Known )—OR Produced Identification
Type of Identification
Produced
(Signature of Notary Public- State of Florida 1
�►'`;: NICHOLE APO�TSE
Commis i---NtCHOL9 APOAV) Commissi ION # FF98 ,
•,,•'?MY COMMISSION # FF963031 „�� • , EXPIRES May 04, 2020
'�+ EXPIRES Ma 04, 2020 [(407,3980'63 rtorldalloe com
r4D.7) 396- •63 FbrkW4o ary8orvico.com
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
ATE
ECEIVED
DATE
COMPLETED
t�'v. 8/2/17