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HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED O O SCANNM Permit Number: Bay Wit, fL;u(0ur� c©ft RECEIVED Building Permit Application JUL 2 4 2018 ing and Development Services ng and Code Regulation Division Virginia Avenue, Fort Pierce FL 34982 e: (772) 462-1553 Fax: (772) 462-1578 Commercial ST. Lucie Residential ng PERMIT APPLICATION FOR: Gas tank PROPOSED IMPROVEMENT LOCATION: Addr Legal 9423 Poinciana Ct cription: Meadowood Unit One Lot 33 (.17 AC)(OR 1331-2674) Prope y Tax ID #: 1334-503-0035-000-7 Site Pla rI Name: Project Name: Federico Setbac Front Back: Right Side: DETAILED DESCRIPTION OF WORK: Install 2�60 gallon LP tank to generator and final connect CONSTRUCTION INFORMATION: 11 Ek Total Sq. Cost of C L"J Gas Tank •ic ❑ Plumbing of Construction: struction: $ 2300.00 Left Side: this permit —cnecK all triat appiy: ❑Gas Piping _ Shutters ❑Sprinklers Generator S Ft. of First Floor: _ Utilities:n Sewer E]Septic Lot No.33 Block No. QWindows/Doors gRoof Roof pitch Building Height: OWNER�LESSEE: CONTRACTOR: Name BruFe Federico Name: Blake Cowdell Address:94,23 Poinciana Ct Company: Energized Gas Address: 4252 Bandy Blvd City: Fort Fierce State: FL City: Fort Pierce State: FL Zip Code: 04951 Fax: Phone No. �172-429-2384 Zip Code: 34981 Fax: 772-318-6672 E-Mail: �1 Phone No. 772-466-1095 E-Mail: EnergizedGenerators@gmail.com Fill in fee si 1 pie Title Holder on next page (if different from the 0 ner listed above) I State or County License: FL34747 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESIG' ER/ENGINEER: _ Not Applicable 1 MORTGAGE COMPANY: _ Not Applicable Name Bruce Federico Addre"s:9423PoincianaCt Name: Blake Cowdell Address' 9423 Poinciana ct City: F Ilrt Pierce State: City: Fort Pierce State: Zip: al Phone I Zip: Phone: FEE SIOPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable _ Name"' Name: Addre S:4252Bandy Blvd Address: City: City: Zip: Phone: Zip: I Phone: OcrlEki CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify t I at no work or installation has commenced prior to the issuance of a permit. St. Lucie ounty makes no representation that is granting a permit will authorize the permit holder to build the subject structure which is i ' conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structure'.liPlease consult with your Home Owners Association and review your deed for any restrictions which may apply. In consid 'ration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accord 'ihce with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The following 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 improve ll l ents to your property. A Notice of Commencement must be recorded and posted on the jobsite before t' a first inspection. If you intend to obtain financing, consult with lender or an attorney before comme 'cin work or recordingour Notice of Commencement. �I Signatur I of Owner/ Lessee Contractor as Agent for Owner Signature of Contractor/License Holder STATE F FLORIDA STATE OF FLORIDA COON OF 5 -• Ll to e. COUNTY OF =V . L ucir I The forg ing instrument was acknowledged before me The for oing instrument was acknowledged before me this "day of �VI20� by this day of :Tull , 20J, by I ( �(arkJ., co of person making statement Name of person making statement 1Iame Personal Y Known OR Produced Identification Personally Known_ OR Produced Identification Type of I ratification Type of Identification Producedl Produced (Signature of Notary Public- State of Florida) (Signature of Notary Public- State of Florida ) Commissi n p••"y" • C-iIOLE A ONTE Commission N . .. I,E AP COMMISSION # FF983031 �� MY COMMISSION # FF963031 MOWMY .' EXPIRE$ May 04 (4C 13ggpFb II `°"' t4C71398-0'S3 id"w arAmcom VEGETATION REVIEWS FR RVISOR PLANS NGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEIVE Q, DATE III COMPLE IED Rev