HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AF
Date:
.icABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED -41al d Permit Number: V% 040- 4Q u 1�P
SCANNED
BY RECEIVED
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Building Permit Application AUG 0 0 2 2018
Planning o I d Development Services
Building a Code Regulation Division ST. LUGIQ County, Permltting
2300 Virgi is Avenue, Fort Pierce FL 34982 _
Phone: (#2) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT,APPLICATION FOR: Gas tank
El
PROPO ED IMPROVEMENT LOCATION:
Address: 416 Poinciana Ct
Legal Des Iription: Meadowood Unit One Lot 13 (.17 AC) (OR 3991-1527)
Property
Site Plan
Project
ID #: 1334-503-0015-000-1
me: Smith
Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Lot No.13
Block No.
Install '50 gallon LP tank to generator and final connect
CON TRUCTION INFORMATION:
Add iti o na I work to e Derformed under this permit —check all apply:
i VAC Z Gas Tank ❑Gas Piping In _ Shutters ❑ Windows/Doors
Elllectric 0 Plumbing []Sprinklersri Generator FIRoof Roof pitch
Total q. Ft of Construction: S . Ft. of First Floor:
Cost f Construction: $ 2200.00 Utilities: 0 Sewer Septic Building Height:
fl
11
OW , ER/LESSEE:
CONTRACTOR:
Nam6 Jerry Smith
Add ess:9416 Poinciana Ct
Name: Blake Cowdell
Company: Energized Gas
City IFort Pierce State: FL
Zip ll ode. 34951 Fax:
Phone No.772-465-5141
E- I ail:
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
Fill In fee simple Title Holder on next page ( if different
fro I the Owner listed above)
State or County License: FL34747
If v ' lue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
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DESIGNE /ENGINEER: _ Not Applicable
MORTGAGE COMPANY:
_ Not Applicable
Name: p&Grace Baran
Name: B���en
Add ress • 6= s Caton Adams Rd
Address: la65 s cadton Adams Rd
City: FortP'tce State:
City: FctPen:e
State:
Zip: I Phone
I
Zip: Phone:
FEE SIM LE TITLEHOLDER: _ Not Applicable
BONDING COMPANY:
_Not Applicable
Name:
Name:
Address 402BandyBnm
Address:
City: - :I
City:
Zip: Phone:
Zip: II Phone:
I
OWNER/I CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify t at no work or installation has commenced prior to the issuance of a permit.
St. Lucie C I unttyy 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. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consid Nation of the granting of this requested permit, I do hereby agree that I will, iri all respects, perform the work
in accord nce with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The folio 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
WARNIN,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 Ithe first inspection. If you intend to obtain financing, consult with lender or an attorney before
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Signat I re o Owner/ Lessee/Contractor as Agent for Owner
Signa a of Contractor/License Holder
STAT OF FLORIDA
STATE OF FLORIDA
COU I TY OF �� Lu(-e ,
COUNTY OF - 1 _uyC- e,
The I oing instr=nt Xvas acknowled a before
The for oing instrumen was acknowled ed before me
is day 20� by
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ype of Identification
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Co mission No. (Seal)
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Commission No. (Seal)
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R (VIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
.MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
D TE
R GEIVED
D 'TE
C MPLETED
8/2/17