HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL ' PLIC BLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date N Permit Number: 11
SCANNIE
_ BY I�EC�zVED
at 1�7
Building Permit Applicati n AUG 0 2 2018
Plan ing and Development Services
ST. Lucie County, Permitting
Buil ing and Code Regulation Division.
230 Virginia Avenue, Fort Pierce FL 34982
Ph 1�e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
IT APPLICATION FOR: Gas tank
-'
PR
I,POSED IMPROVEMENT LOCATION:
16265 S Carlton Adams Rd
Luke's Lots(PB 41-4) Lot 8(7.552 AC) (OR 3723-223; 4025-1834: 4058-1302)
Proo6rtv Tax ID #: 2236-700-0008-000-6
Lot No.8
Site II Ian Name: Block No.
i
Proie.ct Name: Baran
Front Back: Right Side:
DETAILED DESCRIPTION OF WORK:
1000 gallon LP tank to generator and final connect
Left Side:
CO
;USTRUCTION INFORMATION:
Ad
itiona wor tobee orme under
HVAC L� ! Gas Tank
this permit — check
❑Gas Piping
a
_Shutters
apply:
a Windows/Doors
Electric 0 Plumbing
❑Sprinklers
Generator
0 Roof Roof pitch
Tots, Sq. Ft of Construction:
S Ft. of First Floor:
Cost
I'
of Construction: $ 4500.00
Utilities. —
Sewer
F�
Septic
Building Height:
O
'iNER/LESSEE:
CONTRACTOR:
Nar
Adc
CRY
Zip
Phc
E-
eJason & Grace Baran
Name: Blake Cowdell
ess:16265 S Carlton Adams Rd
Company: Energized Gas
Address: 4252 Bandy Blvd
$ Fort Pierce State:FL
Code; 34945 Fax:
a No.772-678-5632
ail:
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
Fill In fee simple Title Holder on next page (if different
from the Owner listed above)
E-Mail: EnergizedGenerators@gmaii.com
State or County License: FL34747
If vd ue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
=SU:PPLEMENTAL
CONSTRUCTIONUEN LAW INFORMATION:
DESI,
Nam
Add
City:
Zip:
NER/ENGINEER: _ Not Applicable
Jason & Grace Baran
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Address: 16265 S Carlton Adams Rd
City: Fore Pierce State:
Zip: Phone:
LL:
CSS:16265 S Carton Adams Rd
,�ortPierce State:
!1 Phone
FEE
Nam'
Add,
City:
Zip:
MPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
SS:4252BandyBlvd
Phone:
Zip: Phone:
OWNE'�, / 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. Luc! !County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is n 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 consi 1 ration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accor, ,lance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The foll Ing building permit applications are exempt from undergoing a full concurrency review: room additions,
accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARN G TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improv' ments to your property. A Notice of Commencement must be recorded and posted on the jobsite
before I he first inspection. If you intend to obtain financing, consult with lender or an attorney before
comm '6cing work or recording your Notice of Commencement.
ok�
Ilk (�w
Signatu',le of Owner/ Lessee/Contractor as Agent for Owner
Signa a of Contractor/License Holder
I
STATEPF FLORIDAt� \
STATE OF FLORIDA Z \
COUN OFZ LO(,I e/
COUNTY OF J-� - h '\GI C,J
The ing instrument Xvas acknowled ed before
by
The for od lofty men was acknowle 0 ed be ore me
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this ay of 20�
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Name of pe s making statement `�°',;,1�\\°�
Person ly Known OR Produced Identificati �'
Name of per on making statement
ersonally Known OR Produced Identific
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Type of identification � (
ype of Identification
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ray =iv r
(Slg a
e of Notary Public- State of Florida) N X N X. cn
(Signet re of Notary Public- State of Florida)
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Commis
on No. (Seal) y Q y
Commission No. (Seal)
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CD
N -4
C!
REVIE
ill S
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVE
DATE
tOIVIFLt
11 ED
Rev. 8/2/