HomeMy WebLinkAboutBUILDING PERMIT APPLICATIONALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED r� S
Date: Permit Number: v
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Building Permit Application �L�`
Planning and Development Services St4g ���
Building and Code Regulation Division Z6�� �eob�
2300 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: Gas tank
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PRO'POSED'I'MPROUEM.EN, LOCATION,
Address: 238 Bimini Dr
Legal Description: Coral Cove Beach -Section one- 9CANNED
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Property Tax ID #: 1425-701-0045-000-7 Lot No.5
Site PIIan Name: Block No. 3
Project Name:
Setbacks Front Back: Right Side: Left Side: ,
D:ETAIL'ED DESCRIPTION-O:F;WOR'K
4
Install250 Gallon Lp tank underground and gas lines to tankless water heater,dryer,range, and BBQ
'CON Sl RUCTION IN,FOR:NI�ATION.".
��i VAC Rj Gas Tank
Electric 0 Plumbing
Total Sq. Ft of Construction:
Cost of Construction: $ 4095.00
under this permit — cl
❑Gas Piping
Sprinklers
InappiY:
_ Shutters ❑ Windows/Doors
MGenerator El Roof Roof pitch
Sq. Ft. of First Floor:
Utilities: Sewer Septic
Building Height:
01NNE"RLESSEE
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CONTRACTOR
Name iChristopher Workman
Name: Blake Cowdell
Address: 238 Bimini Dr
Company: Energized Gas
City: Hutchinson Island State: FL
Address: 4252 Bandy Blvd
City: Fort Pierce State: FL
Zip Code: 34949 Fax:
Phone No.772-539-1910
Zip Code: 34981 Fax: 772-318-6672
E-Mail:
Phone No. 772-466-1095
E-Mail: EnergizedGenerators@gmail.com
Fill in fee simple Title Holder on next page ( if different
State or County License: FL34747
from the Owner listed above)
I
IT value oT construction is >Lsuu or more, a KECURDED Notice of Commencement is required.
SURIp%,
ENTAL CONSTRUCTI(QNaI:I N LAW INF
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DESIGNER/ENGINEER:
_ Not Applicable
MORTGAGE COMPANY: Not Applicable
Name: Christopher Workman
_
N a m e: Blake Cowdell
Address:238Biminior
Address: 238BiminiDr
City; Hutchinson
State:
City: Fort Pierce State:
Zip � Phone
Zip: Phone:
FEEi SIMPLE TITLE HOLDER:
_ Not Applicable
BONDING COMPANY: Not Applicable
Name:
Name:
Address: 4252 Bandy Blvd
Address:
City:
City:
Zip: Phone:
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
structure. 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 your Notice of Commencement.
10L J we
of Owner/ Lessee/Contractor as Agent for Owner Sign ure of Contractor/License Holder
COUNTY OF ORIDA5�, (r elk
� COUNTSTATE OF FLY OF ORIDA��
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The forgoing instrument was acknowled@
this &t day of Sj20
Name of pers n making statement
Personally Known OR Produced Id(
Type of Identification
of Notary 1305fic- State
Commission No.
before me I The
by this
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(Seal)
ing instrument was acknowledged before me
day of 15-4,Q_A1C , 20& by e
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Name of pe so making statement
Personally Known OR Produced Identifica 'on
Type of Identification
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(Signature of otary Public- State of Florida)
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Commission No. (Seal)
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REVIEWS FRONT ZONING SUPERVISOR PLANS VEGETATION SEA TURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
DATE i
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
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