HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL A PLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number: I M.JO V
SCANNED
RECEIVED
Building Permit ppicatio Permirnn 3 2019
9 .Department
PI n ng and Development Services St. Lucie County
euil and Code Regulation Division
2300 . inia Avenue, Fort Pierce FL 34982
Phon I: ( 2) 462-1553 Fax: (772) 462-1578 Commercial Residential
PER
IT AP CATION FOR: Gas tank El
PROPOSED
IMP VEMENT LOCATION:
Address 8101 Kiawah \aThe ce
Legal Description:Pod 25 Reserve
Prope Tax ID #. 3327-705-0011- -�
Site Pla Name:
oiectZ Pr(
Left Side:
DETA 'LED DESC IO -f F W RK:
i
Install ';00 gallon L k to In nerator d alonnect
Lot No.10
Block No.
CONS RUCTigN I FORMATION:
iti ra work to btY a orme under this permit — check al ap
VAC Gas Tank Gas Piping _ Shutte Windows/Doors
Eectric 0 Plumbing Sprinklers E] Generator � Roof Roof pitch
Total Sc. Ft f Construction: S Ft. of First Floor:
Cost of C • nstruction: $ 3295.00 Utilities: Sewer 0 Septic uilding Height:
OW R/LESSEE:
CONTRACTOR:
a
Ntdres
City: P
Zip Co
Phone 1
E-Mail:
Fill in fe
from th
,rrold Duroseau
Name: Blake Cowdell
Company: Energized Gas
Address: 4252 Bandy Blvd
:8101 Kiawah Trace
St Lucie State: FL.
fie: 34986 Fax:
0.772-529-1129
City: Fort Pierce \State: FL
Zip Code: 34981 Fax: 772-318- EZ72
Phone No. 772-466-1095
I
Ie 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, -
DESK
Nam
Addr
City:
Zip:
N ER/ENGI NEER: _ Not Applicable
ErroldDuroseau
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Address: 8101 W-ahTrace
KiawahTrace
ISS:8101
TprtStLucle State:
Phone
City: FortPlerce State:
Zip: Phone:
FEES
Nam
Add re
City:
Zip:
MPLE TITLEHOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Address:
City:
SS: 4252 Bandy Blvd
Phone:
Zip: Phone:
OWNS / CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify :hat no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to build the subject structure
which is n 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 accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The follc wing building permit applications are exempt from undergoing a full concurrency review: room additions,
accessor if 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 ments to your property. A Notice of Commencement must be recorded and posted on the jobsite
before he first inspection. If you intend to obtain financing, consult with lender or an attorney before
romm nring work or recording vour Notice of Commencement.
rR
tAlff A-i . I
ak
eg� ccw&�'
si7gFrkti
re of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STAT
OF FLORIDA ) t
STATE OF FLORIDA� `
COU
TY OF ,� l I 1 �
COUNTY OF _�
I®���,� P '
The fo
cling instrument was acknowledged before me
T e.forgoing instrument was acknowledged before me
this
day of 20S byday
of4uS-f- 20 by
Name of per on making statement
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Name of p�rspn making statement
1P 7�
=,
Perso
illy Known OR Produced Identification
n 0
m
sonall Known OR Produced Identification
y
Type
Identification
-< 3 a
r-
e of Identification
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ur of Notary Public- State of Florida)
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Ignature f Notary Public- State of Florida
0
Comm
Sion No. (Seal)
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mmission No. (Seal)
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REVI
WS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEA TURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEI
ED
DATE
COM
ETED
Rev. 8/2/17