HomeMy WebLinkAboutBUILDING PERMIT APPLICATION9
APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Q
te: Permit Number:S CAN NEED
BY
U
• St. Lucie Con�NED
Building Permit Application Aug 1$1018
nning and Development Services
Iding and Code Regulation Division Permittin Department
)0 Virginia Avenue, Fort Pierce FL 34982 St. die County
one: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Gas tank El -
PROPOSED
IMPROVEMENT LOCATION`:
Address: 7957 Saddlebrook Dr
Le al Description: Sabal Creek -Phade II-
Proiperty Tax ID #: 3321-502-0024-000-OC. Lot No.75
Sit Plan Name: Block No.
Project Name: Hayes
11
Setbacks Front Back: Right Side: Left Side:
D�TAILED DESCRIPTION OF WORK:'
Install 500 gallon LP tank to generator and final connect
CONSTRUCTION INFORMATION:
A(lditional work to e
performedunder this permit— check a apply:
HVAC Gas Tank ❑Gas Piping _ Shutters a Windows/Doors
DElectric r] Plumbing Sprinklers FIGenerator Roof Roof pitch
Total Sq. Ft of Construction: S . Ft. of First Floor:
Colt of Construction: $ 3295.00 Utilities:DSewer Septic Building Height:
11
OY'NNER/LESSEE:
CONTRACTOR:
Na�1
Address:7957
Cite
Zi
Ph
E-
Fil
fr
eMark Hayes
Name: Blake Cowdell
Company: Energized Gas
Saddlebrook Dr
Port Saint Lucie FL
: State: _
i Code: 34986 Fax:
I me No.786-213-1957
ail:
4252 Band Blvd
Address: Y
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
in fee simple Title Holder on next page ( if different
m the Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
If volue of construction is $2500 or more, a RECORDED Notice of Commencement is required.
S
i 'PPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
A�
am e: Mark Hayes
N a m e: Blake Cowdell
Address: 7957SaddlebrookDr
dress:7957SaddlebrookDr
C
Z
City: Fort Pierce State:
Zip: Phone:
ty: Port Saint Lucie State:
b: Phone
F
Name:
E SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
A
d ress:4252 Bandy Blvd
Address:
C
Z
y:
City:
p: Phone:
Zip: Phone:
OUVNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. ucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
whi h is in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such
strL cture. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In )nsideration of the granting of this requested permit, I do -hereby agree that I will, in all respects, perform the work
in-cordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
ThE lfollowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accleI�lI ssory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
W IARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
im Drovements to your property. A Notice of Commencement must be recorded and posted on the jobsite
before the first inspection. If you intend to obtain financing, consult with lender or an attorney before
comencinc work or recordine vour Notice of Commencement.
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nat e o caner/ Lessee/Contractor s Agent for Owner
Sign ure of Contractor/License FT61der
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8/2/17