HomeMy WebLinkAboutBUILDING PERMIT APPLICATION1
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED / �(
Datel Permit Number:
RECEIVED
Building Permit Application
Planning and Development Services SEP 1d70
ent
Building and Code Regulation Division Permitting Luce county
2300 Virginia Avenue, Fort Pierce FL 34982 t
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Gas tank
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PROPOSED IMPROVEMENT LOCATION:,,
Address: 7717 Wexford Way 4i,109�:. ��LI17Y�J'
Legal Description:
Reserve Plantation -Phase 1- Lot 52
1
Property Tax ID #: 3321-801-0052-000-3
Site Plan Name:
Project Name:
cks Front Back: Right Side: Left Side:
DETAILED DESCRIPTION OF WORK:
Run gas line from existing pool heater line to generator and final connect
Lot No.52
Block No.
CONSTRUCTION INFORMATION:
Additional work to be nertormed under this permit— check a apply:
11HVAC L� 1 Gas Tank ❑Gas Piping Shutters ❑, Windows/Doors
❑_ Electric 0 Plumbing Sprinklers E]Generator Roof Roof pitch
Total ,lSq. Ft of Construction: S . Ft. of First Floor:
Cost of Construction: $ 695.00 Utilities: Sewer 0 Septic Building Height:
I
OWNER/LESSEE:
CONTRACTOR -
Nam eRobert Deery
Address:7717 Wexford Way
Name: Blake Cowdell
Company: Energized Gas
City: iPort St Lucie State: FL
Zip Code: 34986 Fax:
Phone No.772-465-6254
E-Mail:
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34986 Fax: 772-318-6672
Phone No. 772-466-1095
Fill in fee simple Title Holder on next page ( if different
from the 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.
l
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
NER/ENGINEER: _ Not Applicable
N a mle : Robert oeery
Address: 7717 Wexford Way
city: I Port St Lucie
Zip: Phone
State:
FEE SIMPLE TITLE HOLDER: _ Not Applicable
Name:
Address: 4252 Bandy Blvd
City:l
Zip: ' Phone:
MORTGAGE COMPANY: _ Not Applicable
Name: Blake Cowdell
Address: 7717 Wexford Way
City: Fort Pierce State:
Zip: Phone:
BONDING COMPANY: _Not Applicable
Name:_
Address:
City:_
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. Lucie 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
structulre. Please consult with your Home Owners Association and review your deed for any restrictions which may apply.
In consideration 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 following 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
improvements 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
commencing work or recording vour Notice of Commencement.
Signature of Owner/ Lessee/Contractor as Agent for Owner
Signature of Contractor/License Holder
STATE OF FLORID
STATE OF FLORIDA
COUNTY OF �—t� � J
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COUNTY OF c 11o� e
The forgoing instrument was acknowledged before me
The for oing instrument was acknowledged before me
this b2 da of , 20 by
i day of �.Pd a w►be� , 20 b
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Name of pe(s n making statementTcation
= Name of pe s making statement
P Known OR Produced Identification
Personally Known OR Produced Identifir0
sonally
Type of Identificatio
e of Identification
P u d
m
duced
0
0
Signatur of Notary Public- State of Florida)o
ig ati re of No ry Public- State of FloridaCommission
No. (Seal)mmission
I (Seal) N
REVIEWS
FRONT
ZONING
SUPERVISOR
PLANS
VEGETATION
SEATURTLE
MANGROVE
COUNTER
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
REVIEW
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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