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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 �, �rrrr�� 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 33 Pr d o y. ° ut duce 03 3w3 �3a•o C_o �3m w��Q 30 TYAN O G) ( igna ur of Notary Public- State of Florida) N X N d Ignature f Notary Public- State of Florida 0 Comm Sion No. (Seal) W G ,I- ° 00 Q mmission No. (Seal) NXN W C' Co C 0=.Dj H 00 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