HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL AIPPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: (� (� GA� Permit Number:I'l
- 'BY . Lucie®m0 ._._RECEIVED
Building Permit Application AUG 10 2018
Plan` ing and Development Services
Build ng and Code Regulation Division ST_ Lucie Counts ermiing
230Q Virginia Avenue, Fort Pierce FL 34982
Pho e: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIII IT APPLICATION FOR: Gas tank El
PRO'OOSED IMPROVEMENT LOCATION:
Addre� s: 9101 One Putt PI
Legal Description: Lakes at PGA Village (PB 43-32)
Prope 1y Tax ID #: 3334-501-0115-000-2
Site Plan Name:
Proje Ili Name:
Setbacks Front Back:
I
DETAILED DESCRIPTION OF WORK:
Right Side: Left Side:
Installjl1500 gallon LP tank to generator and final connect
Lot No.13
Block No. C
CONSTRUCTION INFORMATION:
it] . Dnai wor to e e orme un er this permit — c ec a apply:
❑III VAC RI Gas Tank ❑Gas Piping _Shutters ❑ Windows/Doors
❑',:lectric ❑ Plumbing []Sprinklers❑ Generator ❑ Roof Roof pitch
Total 1. Ft of Construction:
Cost o, Construction: $ 3400.00
S Ft. of First Flopf:
Utilities:Sewer ❑Septic Building Height:
OVV
DER/LESSEE:
CONTRACTOR:
Name
Add rds:9101
City: Pprt
i'�
Zip C I,
PhonelNo.772-672-4617
E-Mai
Fill in
from the
ruce & Carol Bredickas
Name: Blake Cowdell
One Putt PI
Company: Energized Gas
Address: 4252 Bandy Blvd
Saint Lucie State: FL
34986
e: Fax:
Fort Pierce FL
City: State:
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
fee simple Title Holder on next page ( if different
Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
If valuel!'of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SU
LEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
Na
Add'
City
Zip:
_ Not Applicable
I e: Bruce & carol Bredickas
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Address: 91o1 One Putt Pi
City: FortPierce State:
Zip: Phone:
ess:9101 One Putt PI
Port Saint Lucia State:
Phone
FEE
Naq
Address:
city'
Zip:
MMPLE TITLE HOLDER: _ Not Applicable
I e:
BONDING COMPANY: Not Applicable
Name:
4252 Bfta dy Blvd
Address:
City:
Phone:
Zip: Phone:
OW R/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I cert% II that no work or installation has commenced prior to the issuance of a permit.
St. Luc a County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which s in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
struct re. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In con ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acc� �rdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fo owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access s'I ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR IING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
impr' vements to your property. A Notice of Commencement must be recorded and posted on the jobsite
befo' the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comrblencing work or recording our Notice of Commencement.
�tJ
Sign
re of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STA,
E OF MUM
S1 ur., e�
STATE OF FLORIDA
CO �i�
NTY OF
COUNTY OF o� I
The
rgoing instrument was acknowledged before me
The forgoing instrument was acknowledged before me
i,
this
day of A-V 9US'f' , 20j� by
this day of aV Si' _ _, 20 b
"
�j1S Nf
`N11»Ups
�
Name of per o aking statement
Personally Known OR Produced Identification
Pers
Name of pe n making statement
Known rOR Produced.ldentifica
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iY%aq ,c;��
nally _
,
Ty p
of Identification
Type of Identification 9 3
Pro
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K o . r
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(Sig,
atur of Notary Public- State of Florida)
N o z n
(Signatur of Notary Public- State of Florida) N m M d
Coal
ission No. (Seal)
p. �O
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Commission No. (Seal) 2.
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y duo Q D
0 00 Cr�ODCVim.
RE
IEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
REC
IVED ,
DA
CO
PLETED
Rev. 8V2/17