HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICAB4 INFO MUST B'E'COMPLETEIJ,: FOR CATIJON. TO BEACCEPTEb
ba. e: 'Pdftit Nprribep, e
MIM SCANNED
15MMEN&SIM Building Permit Applitatiqn. BY
iing and Development Services fit', Lude County
,ng andrICO&Regulation Division -
Virginia -Avenue, Fort Pierce FL 34982
ie: (712) 462-1553. Fax: (771) 4624573 COmmercial 'Residential
PEf
MIT APPLICATION' FOR: Gas piping j-..
PROPQSER
WS' i" M, 7,
!T t , 1.
Addr'ess:.1'54 NE Hdrript St
Lej Description, River Park -UNIT 0--PART C BLK75 LOT 20(MAP34i26N)(OR.31,29-233.3),
Pr4elrty Tax,ID #: j410-570-0044'6600-6 Lot Nb.�20
Site PIan.Name: 'block No.Z5
Projact Name-:
Setbacks Front Back: Right Side:, Left,Sideii
DETAILED DESCRtIPTI'ON F
Conpec generator to,,ex,isting.gps1jrTe
_AT1 'S R 0,S XF v--
q T. (Q; __ IN
Addilt onal ortothatapply:
o, e pertormed :under this pprrftIt.—,check::aI1
�Shut ters ❑F-1winclows/Doom HVAjC _G,dsTa'hk.- 5_/�q`as, Piping
EjeWic D Plumbing 0sprilhkiers Generator:Roof Roof,plich
Tot6i.Sjo. Tt of Con§_tr.u0tIon; . S'q. F.t. of FIrstFloor:.
Cos A 'Construction: $.665.00 Utilities: Sewer EIS60tic Building Height:
El
OUV
,f
Na'
6-1 Michael Allen
Name: Blake Cowdell
less*.' , 164 W St.
Add"
Company:y, Energized Gas
1Port St Lucie State: FL
l
city
Address:; 4252 Bandy BIvd
City, Foet-Pierce Staie.-FL.
Zip
r
c� 34403 Fax:
Pholie
(Code:
No.
., .!—
21 Cbde:34981 Fax:,77!2-318 6672
p
E_IV
afil:,
Phone No.7727-400,4095'
fee simple Title, Holder L 6 L h 'hext page: if'different,
Fill I
E-Mail.:, EnergizedGenerators@gmaii.com
fro
the bwner listed above)
State,-drCounty Lic6ns'e:: FL34747
Itrvalpe of construction, is52500 ormore,;a RECORDED Notice of Comrine'4cerrierit Is required:.
�7
i SSZR13 A 4-tOWE'S tE CENTERS, LLC
PAGES. 11 DATE: 0 . , 18 / 18
FOR: MICHAEL ALLEN
ESS: 154 NE HEMET ST
PORT SAINT LUCIE FL 34983
JBF 0`77,
4100 NOI._dWEST FEDERAL HWY
JENSEN BEACH FL
PHONE: (772)692-7745
PHONE: (772)343-7816
VENDOR
NAME:
ENERGIZED ELECTRIC LLC
CONTACT:
ADDRESS:
4252 BANDY BLVD
PHONE:
(772)466-1095
FORT PIERCE FL 34981
FAX: (772)318-6672
P�OJECT:
547465222 EXTRAS
LOWES
PO:
78900578 LOWES INVOICE: 96316
ASSOCIATE: JAIME
HERNANDEZ
EST DMVERY:
07/18/18
AR NUMBER:
QTY 111TEM
ITEM DESCRIPTION BIN
VEND_PART#
COST EXT_COST
-------------------------------------------------------------------------------------
1
�3955
EXTRA LABOR
LABOR
895.00 895.00
GAS CONNECT &
EXT RUN
TO PANEL
FREIGHT
$ 0.00
TOTAL
$ 895.00
SU ,PLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DES�'GNER/ENGINEER: _ Not Applicable
Na Ille: Michael Allen
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Address: 154NEHemetSt
City: Fort Pierce State:
Zip: Phone:
Add' ess: 154 NE Hemet St
City
Zip:
Port St Lucie State:
! Phone
'1
FEE
Na
1S,IMPLE TITLEHOLDER: _ Not Applicable
dle:
BONDING COMPANY: Not Applicable
Name:
Address: 4252 Bandy Blvd
Address:
City:
City:
Zip: Phone:
Zip: Phone:
OWNER/ 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. Lu �!e County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is 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 conl�lideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in acciirdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The fdlowing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING 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
befdle the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencing work or recording your Notice of Commencement.
Sign Iture of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder
STATE OF FLORIDA C STATE OF FLORID Lu6e-,
COI, NTY OF I� (a ,��� COUNTY OF
The forgoing instrument was acknowled d before me
this %S day of #VA()S 1- 20 by
Name of perkV making statement
";
"'%°;,,+„
Per.
onally Known OR Produced Identificati
¢
Typ
of Identification
O mD
Produced
<3 -<
C_o W
3 m'—'D
0 CD
(Sigl�nJ
atq a of Notary Public- State of Florida)
o0 G)n
Co
d
mission No. (Seal)
oz
Nm�m7C
Nv �; c =
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mCDcD
EWS
RE EIVED
DAME
COMPLETEI
R
The forgoing instrument was acknowled V9before me
this day of 14 USt 20 by I
Name of person making statement
finally Known OR Produced Identification
of Identification
ry Pu
mission No.
of Florida )
(Seal)
�3
03
0
3 v,
FRONT ZONINGANG
COUNTER I REVIEW I S REVIEWUPERVISOR REVIEW LANS I VEGETATION EV EWI S REVIEW LE I MREVIEWVE