HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONi
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ALL APPLICABLE,INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Dat Permit Number:
0&*4TAM4W== RECEIVED (&.'i
Building Permit Application
Plan ing and Development Services SEP 2 0� 2018 ���'•
Buil1�ng and Code Regulation Division PurmlCtins oopartme
2300 Virginia Avenue, Fort Pierce FL 34982 St. Lucle C
Pho�pe: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential __
PERMIT
APPLICATION FOR:
Gas tank,
PROS
O ED I� PROUEMEN
�1 CATION
110
�
Addr ss. 8101 Kiawah Trace
Legal Description: Pod 25 At The Reserve
Prop 'f ty Tax ID #: 3327-705-0011-000-7
Site P an Name:
Proje'It Name:
Setb ,cks Front Back:
Right Side: Left Side:
Install) 500 gallon LP tank to generator and final connect
Hdaionai worK to be nertormed
❑HVAC LJ Gas Tank
Electric 0 Plumbing
—I
Total q. Ft of Construction:
Cost Construction: $ 3295.00
Lot No.10
Block No.
er tnis permit — cnecK all apply:
In
❑Gas Piping _ Shutters Windows/Doors
Sprinklers E Generator 11 Roof Roof pitch
S Ft. of First Floor:
UtilitiesInSewer Septic Building Height:
QINNER/EL�SEE
���fi
v�ti
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Nam
Addr
City:
Zip C
Phone;
E-Ma
Fill in
from
', rrold Duroseau
Name: Blake Cowdell
Company: Energized Gas
s:8101 Kiawah Trace
� ort St Lucie State: FL
de: 34986 Fax:
No. 772-529-1129
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34981 Fax: 772-318-6672
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
I:
ee simple Title Holder on next page( if different
a Owner listed above)
State or County License: FL34747
IT vaiu� oT construction is �iZWU or more, a RECORDED Notice of Commencement -is required.
SUR
LEMENTAL.CONSTRUCTION`LIEN
LAW INFORMATION ,
w
DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: _ Not Applicable
Na
e: Errold Duroseau
Name: Blake Cowdell
I
8101 Kiawah Trace
Address:
Address: 8101 Kiawah Tram
PortSt Lucie State:
Phone
I
City: FortPierce State:
Zip: Phone:
City:
Zip:
FEE
SIMPLE TITLE HOLDER: _ Not Applicable
BONDING COMPANY: Not Applicable
Na
�e:
Name:
azsz Bandy Blvd
Address:
City:
Ad cress:
City
Phone:
'I
Zip: Phone:
Zip:1
OW ER/ CONTRACTOR AFFIDVIT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certi y that no work or installation has commenced prior to the issuance of a permit.
St. Luc le 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 con ideration of the granting of this requested permit, I do hereby agree that I will, in all respects, perform the work
in accgrdance with the approved plans, the Florida Building Codes and St. Lucie County Amendments.
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessji ry structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WAR ING 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
befo 1e the first inspection. If you intend to obtain financing, consult with lender or an attorney before
commencine work or recordine vour Notice of Commencement.
Sign
re of Owner/ Less ee/Contrac or as Agent for Owner
Sign at o Contractor/License der
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The,
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The f r oing inst umen was a knowledged before me
IAby
this
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this day o OC-20
Name of pe on making statement
nally Known OR Produced Identific do -�o �`.
'_ Name of per on making statement
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DAT
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Rev. 8%2/17