HomeMy WebLinkAboutBUILDING PERMIT APPLICATION 8-16-18ALL ''PPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
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Building Permit Application Elu g
Planling and Development Services
Buildd Code Regulation Division Permittll-Ic
230( Virginia Avenue, Fort Pierce FL 34982 St. LuhcEi Vi a ; i "` F 1,-
Fax: (772) 462-1578 Commercial
Pho Je: (772) 462-1553
PER
�,'IT,APPLICATION FOR: Gas tank
El
,��I try
lt�lPROPOSED
IMPROVEMENT LOCATION:
Addrelss: 38 Las Casitas M��JM(o®U"
Legal escription: Spanish Lakes County Club Village Leasehold Estates
Prope l y Tax ID #. 1301-500-0757-000-3
Site Plan Name:
Proje 1� Name: Giordano
Setb ��ks Front Back:
DET FILED DESCRIPTION OF WORK:
Right Side: Left Side:
Lot No. 38
Block No.
Install500 gallon LP tank
CONSTRUCTION INFORMATION:
Addit work to e nertormed under this permit — check all apply:
�Ii
VAC Ri Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors
❑_ Electric 0 Plumbing Sprinklers ElGenerator Roof Roof pitch
Total cl. Ft of Construction: S . Ft. of First Floor:
Cost o Construction: $ ��`7 5. Utilities: Sewer Septic Building Height:
I'I
OW
,ER/LESSEE:
CONTRACTOR:
NameO
Addre
City:
Zip C
Phone
E-Mal'
Fill in I
from t
ames Giordano
Name: Blake Cowdell
ls:38 Las Casitas
Company: Energized Gas
Fort Pierce State: FL
ode: 34951 Fax:
No.
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
:
I fee simple Title Holder on next page ( if different
a Owner listed above)
E-Mail: EnergizedGenerators@gmail.com
State or County License: FL34747
If valulof construction is $2500 or more, a RECORDED Notice of Commencement is required.
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SU ',PLEMENTAL
CONSTRUCTION LIEN LAW INFORMATION:
DES
Na
Addless:38LasCasitas
City
Zip:
GNER/ENGINEER: — Not Applicable
a:James Giordano
MORTGAGE COMPANY: Not Applicable
Name: Blake Cowdell
Address: 38LasCasitas
Fort Pierce State:
Phone
'I
City: Fort Pierce State:
Zip: Phone:
FEE
Na ry
Add
City
Zip:
IMPLE TITLE HOLDER: _ Not Applicable
le:
BONDING COMPANY: —Not Applicable
Name:
ess:4252Bandy BW
Address:
City:
it Phone:
'I
Zip: Phone:
OWNER/ 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. Luc IJp 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'dance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fol owing building permit applications are exempt from undergoing a full concurrency review: room additions,
access Fry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARMING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
imprc�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
comry Pnrino wnrk nr rprnrding vour Notice of Commencement.
661A 1.rYA
Sign![ire of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STA IE OF FLORID
STATE OF FLORIDA
COU TY OF t C 1�,
COUNTY OF �L�,
The f rgoing instr ment was cknowled ed before me
The f rgoing instr ment was ac nowled ed before me
7 day � 20� by
this day of 20� by
this of
Name of p r n making statement 0�=
Personally Known OR Produced Identificatio
Name of pers n making statement i
Perso
ally Known OR Produced Identificat'N0`�
)f
Type
Identification"} "y"J`
Type of Identification 0 m D
Prod
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c3�oTD�3moD �3.0-00
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(Sign
it re of Notary Public- State of Florida) "'!t m r-
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Si nat re of Nota Public- State of Florida
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fission No. (Seal) NXN1 cn
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PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATEII
RECEI
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DATE
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COM
iLETED
Rev. 8/2/17
7/912018
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OF LOCATION AND ELEVATION OF FORMBOARDS. I30lJNDA►.
LINES SHOWN HEREON ARE FOR-GRAPHI+rAL PURPOSES ONLY.
PERMIT
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N ELEVATION —29,11 (Ll
tI) 9.31' 3.98 A. BOVE EDGE
m OF PAVEMENT 10.0z'
o ' 32.30
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p 24.72 '!
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RECEIVED MAR 1 t-Z015
f
scat : 1=30'I ALEXANDER J. PIAZZA PSI, INC.
DATE' 3-12-15 Surveying • Mapping'- Consulting
DRAW CJM 619 SW Blltmore Street
®. Port St. Lucie, Florida 34983
JOB 0.: Phone: (772) 340-7770
11, 1977 -F280 Fax: (772) 340-2250
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ED TO:
BUILDING CORPORATION
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