HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
,iII
Datill: SCANNED
/90q—
BY
ED Permit Number:
eta Lucia County RECEIVED
_ All, 18 2010
Building Permit Application Permitting Department
Planking and Development Services St. Lucie County
Builng and Code Regulation Division
230011IIVirginia Avenue, Fort Pierce FL 34982
Pho;le: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT
APPLICATION FOR: Gas tank
PROROSED
IMPROVEMENT LOCATION:
Addr
Legal
. 18506 Mach One Dr
iption: Aero Acres Blk 1 Lot 8 (2.058 AC) (OR 636-1087;3921-541)
Prope Iy Tax ID #:, 3215-801-0015-000-6 Lot No.8
Site PI n Name: Block No. 1
Projec Name:
Setba ks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
AI
Install '§00 gallon LP tank to generator and final connect
CONSITRUCTION INFORMATION:
Add iti
a workto ever orme under tis —checkpermit
VAC LJ Gas Tank ❑Gas Piping
a
apply:
Shutters
Windows/Doors
E
ectric ❑ Plumbing
Sprinklers
[iGenerator
F]Roof Roof pitch
Total Sc'I Ft of Construction:
S Ft. of First Floor:
Cost of ! onstruction: $ 3495.00
�i
Utilities:cnSewer
Septic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
Name Bertha owen
Name: Blake Cowdell
Addre4.18506 Mach One Dr
City: 4 Saint Lucie State: FL
Zip Codl,1 . 34987 Fax:
Phone 1.772-595-9562
Company: Energized Gas
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail: I
Fill in fe6e
from the
simple Title Holder on next page ( if different
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.
i
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:-
N a l
Not Applicable
e' Bertha Owen
.
MORTGAGE COMPANY: _ Not Applicable
N a m e: Blake Col ll
18506 Mach one Dr
Address: 18506 Mach one Dr
Address:
Port Saint Lucie State:
City: Fort Pierce State:
Cltyl
Zir
Phone
Zip: Phone:
FEEL SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 4252 Bandy Blvd
Address:
CityI:
City:
Zip!I
Phone:
Zip: Phone:
OWII1ER/
CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cerly
that no work or installation has commenced prior to the issuance c a permit.
St. Lu IIie
which
struct,
In con
in acc I�Irdance
County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following
acce!J
WARNING
imprTivements
before
comn�
building permit applications are exempt from undergoing a full concurrency review: room additions,
ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
to your property. A Notice of Commencement must be recorded and posted on the jobsite
the first inspection. If you intend to obtain financing, consult with lender or an attorney before
encin work or recording our Notice of Commencement.
I
Sign ture of Owner/ Lessee/Contractor as Agent for Owner
III
Signature of Contractor/License Holder
STATE OF FLORIDA
COUNTY OF S4:. LJ_l a
STATE OF FLORIDA
COUNTY OF
The f rgoing instrument was acknowledged before me
this day of ',u� 201 by
The for oing instrument was acknowledged before me
this day of 1 V 20_X by
Bla K wd
�1 a,�, Co�.r1oll
Personally
Name of person making statement
Known X OR Produced Identification
Name of person making statement
Personally Known Y_ OR Produced Identification
Type
Prod
elf Identification
ced
Type of Identification
Produced
HOLE APONTE
(Signature of NotW39�"*53
Com `ssion No. COMMIS09A# FF963031
(Signature of No ary,
;�CHOLE PONTE
Commission No.MY COMMISSIff l�F963031
EXPIRES May 04, 2020
floddallo:a. Ysoivka.com
•�,q!,,,,••� EXPIRES May 04, 2020
14C71398 C S3 rkWVaNWay8mIce.com
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
Ili
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATEIll
RECEIVED
DATE
IIJ
COMPLETED
Rev. 8/2'
17