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Home My WebLink AboutBUILDING PERMIT APPLICATIONALL INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED Permit Number: RECEIVED Building Permit Application AUG 3 �6 _7010 Permitting De art Planning and Development Services P ment Buildig and Code Regulation Division st. Lucfe Count 2300 111 Avenue, Fort Pierce FL 34982 Phon is (772) 462-1553 Fax: (772) 462-1578 Commercial Residential PER I; IT APPLICATION FOR: Gas tank L17A PROP SED IMPROVEMENT LOCATION: `$ AND Addres is 7901 Kenwood Rd �� , LO Y�, Legal D scription: Lakewood Park -Unit 5- Prope Tax ID #: 1aU 1-oua-Ucco-UUU-1 Site Pla Name: Proiect Name: Setbac Ills Front Back: Right Side: Left Side: DETA LED DESCRIPTION OF WORK: i Install 1„00 gallon LP tank to generator and final connect Lot No.25 Block No. 48 CONS RUCTION INFORMATION: Add o' a I work to be pertormed under this permit— check all that apply: _ HVAC Ri Gas Tank ❑Gas Piping _ Shutters Q Windows/Doors F1E ectric 0 Plumbing Sprinklers Generator 0 Roof Roof pitch Total Sp Ft of Construction: S Ft. of First Floor: Cost of ! onstruction: $ 3700.00 Utilities: Sewer ElSeptic Building Height: OWN �R/LESSEE: CONTRACTOR: Name 0aniel & Rhonda Mark Name: Blake Cowdell Company: Energized Gas Addres 7901 Kenwood Rd City: Fort Pierce State: FL, Zip Codel: 34951 Fax: Phone II 0.772-468-8200 Address: 4252 Bandy Blvd City: Fort Pierce State: FL Zip Code: 34981 Fax: 772-318-6672 Phone No. 772-466-1095 E-Mail: Fill in fee from th simple Title Holder on next page ( if different Owner listed above) E-Mail: EnergizedGenerators@gmail.com State or County License: FL34747 If value of construction is $2500 or more, a RECORDED Notice of Commencement is required. SUP LEMENTAL CONSTRUCTION LIEN LAW INFORMATION: DESI NER/ENGINEER: Not Applicable MORTGAGE COMPANY: Not Applicable N a m : Daniel a Rhonda Mark _ N am e: Blake Cowdell Addr 6 Address: 7901 KenwoadRd ss:7901 KenwoodRd City: (Fort Pierce State: City: Fort Pierce State: 11 Phone Zip: Phone: FEE SIMPLE TITLE HOLDER: Not Applicable BONDING COMPANY: Not Applicable Nam _ : Name: Addr Address: SS: 4252 Bandy Blvd City: City: Phone: I Zip: Phone: Zip: II OWNER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated. I certify'�Coun hat no work or installation has commenced prior to the issuance of a permit. St. Luci which is ty makes no representation that is granting a permit will authorize the permit holder to build the subject structure in conflict with any applicable Home Owners Association rules, bylaws or and covenants that may restrict or prohibit such structur '. Please consult with your Home Owners Association and review your deed for any restrictions which may apply. In consi eration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work in accor ance with the approved plans, the Florida Building Codes and St. Lucie County Amendments. The foll ,wing building permit applications are exempt from undergoing a full concurrency review: room additions, accesso structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use WARN ING 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 before the first inspection. If you intend to obtain financing, consult with lender or an attorney before comm ncing work or recording our Notice of Commencement. _7E I Sig ire of Owner/ Lessee/Contractor as Agent for Owner Signature of Contractor/License Holder STAT !OF FLORIDA STATE OF FLORID/ COU TY OF �Ii1,4 COUNTY OFF Sf• ,��( ,I C The for oing instrument was acknowledged before me The forgoing instrument was acknowledged before me this a day of "Y4 , 20 by this a 8 day of AVQuSt 20 by JAya�' aory � :� �'cnt Name of p s n making statement Ily Known Identific =� ,0`` iori''��' Name of pe s making statement =� Personally Known OR Produced Identification''°q Person OR Produced Type o Identification o d rn Type of Identification Pr d c'd < 3 Produced 0 �3woD �3y_ Ny pfr <3 o'O , •7L (Signat re of NotaryPublic- State of Florida) N o (Signatur of Notary Public- State of Florida) o �' Commi NX Nd Cn 'sion No. (Seal) °. � �= rn NmLi Commission No. (Seal) N� w in OD REVIEI S FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW DATE RECEI D DATE lil COMPLETED Rev.8/2/ 7