HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A LICABLE INFO MUST BE COMPLETED FOR
r) 1, 1 1 & k 14
TO BE ACCEPTED
Permit Number:
SCANNED
RECEIVED
St, LudsCCU n AUG 0 2 2018
Building Permit Application
Plannj g and Development Services 1 ST. Lucie County, Permitting
Build►�'I g and Code Regulation Division
2300 I irginia Avenue, Fort Pierce FL 34982
Phorj' : (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER1
IT APPLICATION FOR: Gas tank 7T71
PRO
iOSED IMPROVEMENT LOCATION:
Legal
Site
12114 Riverbend Rd
lcrrintinn- Bay St Lucie Lot 15 ( Subj to ESMT to C and SFFCD)
;y Tax I D #: 4422-502-0018-000-8
n Name:
Name:
ks Front Back: Right Side:
I DETAILED DESCRIPTION OF WORK:
Installl11000 gallon LP tank and connect to existing generator
CONSTRUCTION INFORMATION:
Total
Cost
HVAC LrJ Gas Tank
Electric 0 Plumbing
;q. Ft of Construction:
f Construction: $ 4495.00
Left Side:
this permit —check all apply:
DGas Piping _ Shutters
Sprinklers Generator
S Ft. of First Floor: _
Utilities: Sewer Septic
Lot No.15
Block No.
�'V...._,
Windows/DoArs
Roof Roof pitch
Building Height:
OW , ER/LESSEE:
CONTRACTOR:
Nami
Addr
City:
Zip
Phon'
Daniel Vacca
Name: Blake Cowdell
�ss- 12114 Riverbend Rd
Company: Energized -Gas
Address: 4252 Bandy Blvd.
ort St Lucie State: FL
de: 34984 Fax:
No.561-398-5903
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
E-M il:
Fill i
from
' fee simple Title Holder on next page ( if different
he Owner listed above)
If value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
N a m
Add r
City:
Zip:
_ Not Applicable
: Daniel Vacca
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Ad d ress: 12114 Riverbend Rd
City: Fort Pierce State:
Zip: Phone:
ss:12114 Riverbend Rd
Qort St Lucie State:
II Phone
I
FEE
Nam
Add r leSS-
City:
Zip:
MPLE TITLE HOLDER: _ Not Applicable
:
BONDING COMPANY: Not Applicable
Name:
4252 Bandy Blvd
Address:
City:
I Phone:
Zip: Phone:
OWNI�R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi that no work or installation has commenced prior to the issuance of a permit.
St. Luci County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which i in 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 cons deration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acco'Idance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fol wing building permit applications are exempt from undergoing a full concurrency review: room additions,
access Ipiy structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARI IING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impro' ements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befor, the first inspection. If you intend to obtain financing, consult with lender or an attorney before
com lenring work or rpenrdine vour Notice of Commencement.
I
Signa
of Owner/ Lessee Contractor as Agent for Owner
Signa a of Contractor/License Holder
STA
lure
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OF FLCO ETY
STATE OF FLORIDA
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The f going instr ent was a knowled ed before me
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this
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DATE
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